Healthcare Provider Details

I. General information

NPI: 1154301943
Provider Name (Legal Business Name): CARRIE MICHELE BARE PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 01/19/2006
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

NAVAL HOSPITAL ATTN:PHARMACY DEPT BLDG 6000 CAMP LESTER
CHATAN-CHO NAKAGAMI-GUN OKINAWA
9040103
JP

IV. Provider business mailing address

PSC 80 BOX 10694
APO AP
96367
US

V. Phone/Fax

Practice location:
  • Phone: 81986437547
  • Fax:
Mailing address:
  • Phone: 81989580435
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberPS35961
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: