Healthcare Provider Details

I. General information

NPI: 1831021377
Provider Name (Legal Business Name): MATTHEW W BARBOUR
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/01/2026
Last Update Date: 06/01/2026
Certification Date: 05/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3463 BIGLERVILLE RD
BIGLERVILLE PA
17307-9809
US

IV. Provider business mailing address

380 GUERNSEY RD
BIGLERVILLE PA
17307-9592
US

V. Phone/Fax

Practice location:
  • Phone: 717-677-8144
  • Fax:
Mailing address:
  • Phone: 717-677-8144
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183700000X
TaxonomyPharmacy Technician
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: