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NPI 1013515956

NPI 1013515956 : BARKER'S PHARMACY : PLAQUEMINE, LA

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General NPI Number Information
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    NPI Number           |    1013515956
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    Entity Type          |    Organization 
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    Legal Business Name  |    BARKER'S PHARMACY 
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Dates
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    Enumeration Date     |    10/13/2020
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    Last Update Date     |    10/13/2020
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Provider Practice Location Address
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    Address Line         |    23460 EDEN ST 
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    City                 |    PLAQUEMINE
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    State                |    LA
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    Zip                  |    70764-2528
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    Country              |    US
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    Telephone            |    225-776-5922
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    62550 BELLEVIEW RD 
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    City                 |    PLAQUEMINE
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    State                |    LA
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    Zip                  |    70764-6308
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    Country              |    US
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    Telephone            |    225-776-5922
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    Fax                  |    
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |     WALTER M BARKER 
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    Credential           |    RPH
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    Telephone            |    225-776-5922
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    3336C0003X
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    Taxonomy Name        |    Community/Retail Pharmacy
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    License Number       |    
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    License Number State |    
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