Provider Demographics
NPI:1447509625
Name:CAMPBELL, BARBARA ANN (RPH CCN)
Entity type:Individual
Prefix:MRS
First Name:BARBARA
Middle Name:ANN
Last Name:CAMPBELL
Suffix:
Gender:F
Credentials:RPH CCN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13860 HIGHWAY 183 NORTH SUITE C
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:UT
Mailing Address - Zip Code:78750
Mailing Address - Country:US
Mailing Address - Phone:512-219-8600
Mailing Address - Fax:521-250-3477
Practice Address - Street 1:13860 HIGHWAY 183 NORTH SUITE C
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78750
Practice Address - Country:US
Practice Address - Phone:512-219-8600
Practice Address - Fax:521-250-3477
Is Sole Proprietor?:Yes
Enumeration Date:2012-09-05
Last Update Date:2012-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX340091835N1003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835N1003XPharmacy Service ProvidersPharmacistNutrition Support