=====================================================
General NPI Number Information
=====================================================
NPI Number | 1801295837
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | BEVERLY BARIL RPH
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 08/14/2014
-----------------------------------------------------
Last Update Date | 08/14/2014
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 15727 E BROADWAY AVE
-----------------------------------------------------
City | SPOKANE VALLEY
-----------------------------------------------------
State | WA
-----------------------------------------------------
Zip | 99037-9544
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 509-922-9047
-----------------------------------------------------
Fax | 509-926-4095
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 15727 E BROADWAY AVE
-----------------------------------------------------
City | SPOKANE VALLEY
-----------------------------------------------------
State | WA
-----------------------------------------------------
Zip | 99037-9544
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 509-922-9047
-----------------------------------------------------
Fax | 509-926-4095
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 183500000X
-----------------------------------------------------
Taxonomy Name | Pharmacist
-----------------------------------------------------
License Number | PH60404271
-----------------------------------------------------
License Number State | WA
-----------------------------------------------------