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NPI Code Detail

MEDICARE: CAITLIN BARNARD

MEDICARE:   CAITLIN  BARNARD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11835P0018XPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist16720OK

General Provider Information

NPI Number : 1144707894
Entity Type Code : Individual
Provider Name (Legal Business Name) : CAITLIN BARNARD
Provider Business Mailing Address
First Line : 1770 S ELM PL
Second Line :
City : BROKEN ARROW
State : OK
Zip : 74012-6453
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1770 S ELM PL
Second Line :
City : BROKEN ARROW
State : OK
Zip : 74012-6453
Country : US
Telephone Number : 918-258-6185
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/25/2018
Last Update Date : 07/25/2018

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Directions to “ CAITLIN BARNARD ” Practice Location

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