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: 10/09/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

460 E NORTH BEND WAY
NORTH BEND WA
98045-8270
US

IV. Provider business mailing address

460 E NORTH BEND WAY
NORTH BEND WA
98045-8270
US

V. Phone/Fax

Practice location:
  • Phone: 425-888-2357
  • Fax: 425-831-1953
Mailing address:
  • Phone: 425-888-2357
  • Fax: 425-831-1953

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberPH60553226
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: