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NPI Code Detail

MEDICARE: DR. JOAN BARKER HALTOM PHARM.D.

MEDICARE: DR. JOAN BARKER HALTOM PHARM.D.
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
1183500000XPharmacist10315KY
2183500000XPharmacist23855FL
3183500000XPharmacist7529TN

General Provider Information

NPI Number : 1043219835
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JOAN BARKER HALTOM PHARM.D.
Provider Business Mailing Address
First Line : 904 ARGYLL DR
Second Line :
City : DANVILLE
State : KY
Zip : 40422-2707
Country : US
Telephone Number : 859-236-8885
Fax Number : 859-239-6706
Provider Business Practice Location Address
First Line : 217 S 3RD ST
Second Line : PHARMACY
City : DANVILLE
State : KY
Zip : 40422-1823
Country : US
Telephone Number : 859-239-1721
Fax Number : 859-239-6706
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/14/2005
Last Update Date : 07/08/2007

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