MEDICARE: DR. KERI BARNES BATES 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
1	183500000X	Pharmacist	16249	AL

General Provider Information

NPI Number	:	1326333980
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KERI BARNES BATES PHARM.D.

Provider Business Mailing Address
First Line	:	2271 LIME ROCK RD
Second Line	:
City	:	VESTAVIA
State	:	AL
Zip	:	35216-3329
Country	:	US
Telephone Number	:	205-919-8990
Fax Number	:

Provider Business Practice Location Address
First Line	:	3346 MORGAN DR
Second Line	:
City	:	VESTAVIA
State	:	AL
Zip	:	35216-3052
Country	:	US
Telephone Number	:	205-259-7100
Fax Number	:	205-259-7101

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/12/2011
Last Update Date	:	03/02/2017

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