Provider Demographics
NPI:1053734921
Name:SKIDMORE, BARBARA (PHARMD)
Entity type:Individual
Prefix:DR
First Name:BARBARA
Middle Name:
Last Name:SKIDMORE
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 1:1501 PARIS PIKE
Mailing Address - Street 2:
Mailing Address - City:GEORGETOWN
Mailing Address - State:KY
Mailing Address - Zip Code:40324-8804
Mailing Address - Country:US
Mailing Address - Phone:502-868-0599
Mailing Address - Fax:
Practice Address - Street 1:1501 PARIS PIKE
Practice Address - Street 2:
Practice Address - City:GEORGETOWN
Practice Address - State:KY
Practice Address - Zip Code:40324-8804
Practice Address - Country:US
Practice Address - Phone:502-868-0599
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-01-29
Last Update Date:2014-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY016416183500000X
OH03331337183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist