Healthcare Provider Details

I. General information

NPI: 1598753485
Provider Name (Legal Business Name): JAMES JOHN LABARRE R.PH, PHARM.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 10/13/2005
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

431 MEADOWLARK ST
SHAW A F B SC
29152-5019
US

IV. Provider business mailing address

52 CUMBERLAND WAY
SUMTER SC
29150-4180
US

V. Phone/Fax

Practice location:
  • Phone: 803-895-6464
  • Fax:
Mailing address:
  • Phone: 315-415-2986
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number046823
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: