Provider Demographics
NPI:1730780834
Name:BARNES, CURTIS GRANT (RPH)
Entity type:Individual
Prefix:
First Name:CURTIS
Middle Name:GRANT
Last Name:BARNES
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17716 BOLSTERS RD
Mailing Address - Street 2:
Mailing Address - City:STONY CREEK
Mailing Address - State:VA
Mailing Address - Zip Code:23882-2012
Mailing Address - Country:US
Mailing Address - Phone:804-691-7702
Mailing Address - Fax:
Practice Address - Street 1:1451 S MAIN ST
Practice Address - Street 2:
Practice Address - City:BLACKSTONE
Practice Address - State:VA
Practice Address - Zip Code:23824-2626
Practice Address - Country:US
Practice Address - Phone:434-292-4998
Practice Address - Fax:434-292-1358
Is Sole Proprietor?:Yes
Enumeration Date:2020-11-04
Last Update Date:2020-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0202005069183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist