Healthcare Provider Details

I. General information

NPI: 1306094792
Provider Name (Legal Business Name): BARBARA ANN LEBARRON R.PH.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/28/2008
Last Update Date: 05/06/2024
Certification Date: 05/06/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

135 RUTLEDGE AVE
CHARLESTON SC
29425-7820
US

IV. Provider business mailing address

135 RUTLEDGE AVE STE 106
CHARLESTON SC
29425-8903
US

V. Phone/Fax

Practice location:
  • Phone: 843-876-0199
  • Fax:
Mailing address:
  • Phone: 843-876-0199
  • Fax: 843-763-2335

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number8933
License Number StateSC
# 2
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number8933
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: