MEDICARE: MR. ERIC T BARKER RPH

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	1835P1300X	Psychiatric Pharmacist	26021234A	IN

General Provider Information

NPI Number	:	1639176696
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. ERIC T BARKER RPH

Provider Business Mailing Address
First Line	:	14610 HENDERSON CT
Second Line	:
City	:	WESTFIELD
State	:	IN
Zip	:	46074-9786
Country	:	US
Telephone Number	:	317-902-7313
Fax Number	:

Provider Business Practice Location Address
First Line	:	8351 ROCKVILLE RD
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46234-2722
Country	:	US
Telephone Number	:	317-273-1552
Fax Number	:

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

Provider Enumeration Date	:	07/06/2005
Last Update Date	:	07/08/2007

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