Provider Demographics
NPI:1679508196
Name:BARNES PHARMACEUTICALS INC
Entity type:Organization
Organization Name:BARNES PHARMACEUTICALS INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:PATRICK
Authorized Official - Middle Name:L
Authorized Official - Last Name:BARNES
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:319-396-6705
Mailing Address - Street 1:75 SHORT ST NW
Mailing Address - Street 2:
Mailing Address - City:CEDAR RAPIDS
Mailing Address - State:IA
Mailing Address - Zip Code:52405-4203
Mailing Address - Country:US
Mailing Address - Phone:319-396-6705
Mailing Address - Fax:319-654-0134
Practice Address - Street 1:75 SHORT ST NW
Practice Address - Street 2:
Practice Address - City:CEDAR RAPIDS
Practice Address - State:IA
Practice Address - Zip Code:52405-4203
Practice Address - Country:US
Practice Address - Phone:319-396-6705
Practice Address - Fax:319-654-0134
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-12
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA1411835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA0035493Medicaid
IA0035493Medicaid