Barry Ehlert, RPH

Individual provider Active NPI Pharmacist · Liberty Lake, WA

NPI 1992089270 · NPPES record last updated Oct 4, 2011

Key facts

NPI
1992089270
Entity type
Individual (NPI type 1)
Primary specialty
Pharmacist 183500000X
License
PH 00039394 (WA)
Practice address
1502 N Liberty Lake Rd
Liberty Lake, WA 99019-8631
Phone
(509) 570-0485
NPI assigned
Oct 4, 2011
Sex
Male
Sole proprietor
No

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
PH 00039394WAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Walgreen Co Past
since Mar 13, 2022
Accepting new patients
Walgreen Co Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PH 00039394 WA Yes

Addresses

Primary practice location

1502 N Liberty Lake Rd
Liberty Lake, WA 99019-8631

Mailing address

10427 E Heron View LN
Mead, WA 99021-5016

Other providers in Liberty Lake, WA

All providers in Liberty Lake, WA · Pharmacist in Washington

Sources for this page

Verify at the official NPI Registry.