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NPI Code Detail

MEDICARE: BARRY'S PHARMACY

MEDICARE: BARRY'S PHARMACY
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
1332B00000XDurable Medical Equipment & Medical SuppliesPO1544KY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1902011802
Entity Type Code : Organization
Provider Name (Legal Business Name) : BARRY'S PHARMACY
Provider Business Mailing Address
First Line : 700 N. GREEN ST.
Second Line :
City : HENDERSON
State : KY
Zip : 42420-2951
Country : US
Telephone Number : 270-826-3957
Fax Number : 270-827-8446
Provider Business Practice Location Address
First Line : 700 N. GREEN ST.
Second Line :
City : HENDERSON
State : KY
Zip : 42420-2951
Country : US
Telephone Number : 270-826-3957
Fax Number : 270-827-8446
Authorized Official
Title or Position : PRESIDENT
Name : MR. TERRYE GOWER
Credential : R.PH
Telephone Number : 270-826-3957
Provider Enumeration Date : 05/14/2007
Last Update Date : 02/20/2012

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Directions to “BARRY'S PHARMACY ” Practice Location

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