Healthcare Provider Details

I. General information

NPI: 1245225812
Provider Name (Legal Business Name): RABAR INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/20/2005
Last Update Date: 04/12/2023
Certification Date: 04/12/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8180 ALABAMA HIGHWAY 69
GUNTERSVILLE AL
35976
US

IV. Provider business mailing address

8180 AL HIGHWAY 69
GUNTERSVILLE AL
35976-7120
US

V. Phone/Fax

Practice location:
  • Phone: 256-753-9500
  • Fax: 256-753-9501
Mailing address:
  • Phone: 256-753-9500
  • Fax: 256-753-9501

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332BX2000X
TaxonomyOxygen Equipment & Supplies (DME)
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code3336C0004X
TaxonomyCompounding Pharmacy
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code335E00000X
TaxonomyProsthetic/Orthotic Supplier
License Number
License Number State
# 5
Primary TaxonomyY
Taxonomy Code333600000X
TaxonomyPharmacy
License Number112863
License Number StateAL

VIII. Authorized Official

Name: MR. BARRY ALAN LATHAM
Title or Position: PRESIDENT
Credential: R.PH.
Phone: 256-753-9500