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NPI Code Detail

MEDICARE: DR. HEATHER BOULWARE BARCUS PHARM D

MEDICARE: DR. HEATHER BOULWARE BARCUS 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
1183500000XPharmacist22483NC
2183500000XPharmacist13802SC

General Provider Information

NPI Number : 1427396183
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. HEATHER BOULWARE BARCUS PHARM D
Provider Business Mailing Address
First Line : 312 MOSSY OAK CT
Second Line :
City : LELAND
State : NC
Zip : 28451-9721
Country : US
Telephone Number : 803-920-6223
Fax Number :
Provider Business Practice Location Address
First Line : 1138 SABBATH HOME RD SW
Second Line :
City : HOLDEN BEACH
State : NC
Zip : 28462-5364
Country : US
Telephone Number : 910-846-3336
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/30/2013
Last Update Date : 01/30/2013

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Directions to “ DR. HEATHER BOULWARE BARCUS PHARM D” Practice Location

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