Healthcare Provider Details

I. General information

NPI: 1063883502
Provider Name (Legal Business Name): ALISHA LOUISE BARR PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/09/2015
Last Update Date: 06/12/2026
Certification Date: 06/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1009 MONROE AVE
ENUMCLAW WA
98022-2993
US

IV. Provider business mailing address

1009 MONROE AVE
ENUMCLAW WA
98022-2993
US

V. Phone/Fax

Practice location:
  • Phone: 360-825-9360
  • Fax: 360-825-9424
Mailing address:
  • Phone: 360-825-9360
  • Fax: 360-825-9424

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License NumberPH60553226
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: