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NPI Code Detail

MEDICARE: MS. DONNA WATTS BARCO RPH

MEDICARE: MS. DONNA WATTS BARCO RPH
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacist11078NC

General Provider Information

NPI Number : 1033525241
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. DONNA WATTS BARCO RPH
Provider Business Mailing Address
First Line : 3209 PINEVILLE MATTHEWS RD
Second Line :
City : CHARLOTTE
State : NC
Zip : 28226-9301
Country : US
Telephone Number : 704-543-6255
Fax Number : 704-543-6257
Provider Business Practice Location Address
First Line : 3209 PINEVILLE MATTHEWS RD
Second Line :
City : CHARLOTTE
State : NC
Zip : 28226-9301
Country : US
Telephone Number : 704-543-6255
Fax Number : 704-543-6257
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/08/2014
Last Update Date : 10/30/2024

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