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NPI Code Detail

MEDICARE: DR. BRENT J BARROW PHARMD

MEDICARE: DR. BRENT J BARROW PHARMD
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
11835P1200XPharmacotherapy PharmacistRP00007226NM

General Provider Information

NPI Number : 1194032466
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. BRENT J BARROW PHARMD
Provider Business Mailing Address
First Line : 1284 CASSATT PL
Second Line :
City : LAS CRUCES
State : NM
Zip : 88007-4911
Country : US
Telephone Number : 859-353-1580
Fax Number : 575-525-0166
Provider Business Practice Location Address
First Line : 3100 N MAIN ST
Second Line :
City : LAS CRUCES
State : NM
Zip : 88001-1162
Country : US
Telephone Number : 575-525-0298
Fax Number : 575-525-0166
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/08/2010
Last Update Date : 09/08/2010

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