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NPI Code Detail

MEDICARE: BARBARA ANN BROOKS

MEDICARE: BARBARA ANN BROOKS
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
1183500000XPharmacistPR3838ME

General Provider Information

NPI Number : 1558653956
Entity Type Code : Individual
Provider Name (Legal Business Name) : BARBARA ANN BROOKS
Provider Business Mailing Address
First Line : 151 E MAIN ST
Second Line :
City : DOVER FOXCROFT
State : ME
Zip : 04426
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 151 E MAIN ST
Second Line :
City : DOVER FOXCROFT
State : ME
Zip : 04426-1304
Country : US
Telephone Number : 207-564-9011
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/04/2011
Last Update Date : 05/04/2011

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Directions to “ BARBARA ANN BROOKS ” Practice Location

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