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General NPI Number Information
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NPI Number | 1881796225
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Entity Type | Organization
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Legal Business Name | BARNES PHARMACY INC
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Dates
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Enumeration Date | 09/05/2006
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Last Update Date | 02/21/2017
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Provider Practice Location Address
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Address Line | 406 MAIN ST
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City | VAN BUREN
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State | MO
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Zip | 63965
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Country | US
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Telephone | 573-323-8159
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Fax | 573-323-4436
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Provider Business Mailing Address
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Address Line | PO BOX 361
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City | VAN BUREN
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State | MO
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Zip | 63965-0361
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Country | US
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Telephone | 573-323-8159
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Fax | 573-323-4436
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Authorized Official
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Title or Position | PRESIDENT
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Name | RITA BARNES
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Credential |
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Telephone | 573-323-8159
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 3336L0003X
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Taxonomy Name | Long Term Care Pharmacy
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 2003031703
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License Number State | MO
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