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NPI Code Detail

MEDICARE: DAVID ALAN BARNES II

MEDICARE:   DAVID ALAN BARNES II
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
1183500000XPharmacist11044SC

General Provider Information

NPI Number : 1215212436
Entity Type Code : Individual
Provider Name (Legal Business Name) : DAVID ALAN BARNES II
Provider Business Mailing Address
First Line : 781 MAIN ST
Second Line :
City : NORTH MYRTLE BEACH
State : SC
Zip : 29582-3029
Country : US
Telephone Number : 843-249-9967
Fax Number : 843-280-3643
Provider Business Practice Location Address
First Line : 781 MAIN ST
Second Line :
City : NORTH MYRTLE BEACH
State : SC
Zip : 29582-3029
Country : US
Telephone Number : 843-249-9967
Fax Number : 843-280-3643
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/19/2011
Last Update Date : 10/19/2011

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Directions to “ DAVID ALAN BARNES II ” Practice Location

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