Provider Demographics
NPI:1255530846
Name:BARBER, CARLA WELLS (PHARMD)
Entity type:Individual
Prefix:DR
First Name:CARLA
Middle Name:WELLS
Last Name:BARBER
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4970 HWY 90
Mailing Address - Street 2:DEPARTMENT OF VETERANS AFFAIRS
Mailing Address - City:MARIANNA
Mailing Address - State:FL
Mailing Address - Zip Code:32446-6802
Mailing Address - Country:US
Mailing Address - Phone:850-718-5620
Mailing Address - Fax:
Practice Address - Street 1:4970 HIGHWAY 90
Practice Address - Street 2:DEPARTMENT OF VETERANS AFFAIRS
Practice Address - City:MARIANNA
Practice Address - State:FL
Practice Address - Zip Code:32446-6802
Practice Address - Country:US
Practice Address - Phone:850-718-5620
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-07-13
Last Update Date:2009-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS42338183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist