MEDICARE: JASON BARNES

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	5302043739	MI

General Provider Information

NPI Number	:	1669932281
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JASON BARNES

Provider Business Mailing Address
First Line	:	933 RIVERSIDE PLZ
Second Line	:
City	:	IRON RIVER
State	:	MI
Zip	:	49935-1529
Country	:	US
Telephone Number	:	906-265-5149
Fax Number	:

Provider Business Practice Location Address
First Line	:	933 RIVERSIDE PLZ
Second Line	:
City	:	IRON RIVER
State	:	MI
Zip	:	49935-1529
Country	:	US
Telephone Number	:	906-265-5149
Fax Number	:

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

Provider Enumeration Date	:	03/20/2019
Last Update Date	:	11/27/2023

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Directions to “ JASON BARNES ” Practice Location

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