Provider Demographics
NPI:1174672877
Name:BARSKI, PETER R JR (PHARMD)
Entity type:Individual
Prefix:
First Name:PETER
Middle Name:R
Last Name:BARSKI
Suffix:JR
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10909 SE HARKEN TERRACE
Mailing Address - Street 2:
Mailing Address - City:JUPITER
Mailing Address - State:FL
Mailing Address - Zip Code:33469
Mailing Address - Country:US
Mailing Address - Phone:561-743-3368
Mailing Address - Fax:772-283-1790
Practice Address - Street 1:3320 SE SALERNO RD
Practice Address - Street 2:
Practice Address - City:STUART
Practice Address - State:FL
Practice Address - Zip Code:34997-6719
Practice Address - Country:US
Practice Address - Phone:772-283-1714
Practice Address - Fax:772-283-1790
Is Sole Proprietor?:No
Enumeration Date:2007-01-10
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS34970183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL106191700Medicaid
FL106191700Medicaid
1081176Medicare UPIN
FL0556050837Medicare ID - Type Unspecified