MEDICARE: PAUL J BARRETT PHARM.D., B.C.P.S.

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
1	1835P1200X	Pharmacotherapy Pharmacist	PR4143	ME

General Provider Information

NPI Number	:	1730181058
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PAUL J BARRETT PHARM.D., B.C.P.S.

Provider Business Mailing Address
First Line	:	132 CANTERBURY ST
Second Line	:
City	:	PRESQUE ISLE
State	:	ME
Zip	:	04769-3021
Country	:	US
Telephone Number	:	207-764-8341
Fax Number	:

Provider Business Practice Location Address
First Line	:	140 ACADEMY ST
Second Line	:
City	:	PRESQUE ISLE
State	:	ME
Zip	:	04769-3180
Country	:	US
Telephone Number	:	207-768-4157
Fax Number	:	207-768-4198

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/01/2005
Last Update Date	:	11/24/2009

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