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NPI Code Detail

MEDICARE: ROSE ALTA BARNES PHARMACIST

MEDICARE: ROSE ALTA BARNES PHARMACIST
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
11835P1200XPharmacotherapy Pharmacist16103NC
21835P1200XPharmacotherapy Pharmacist31163TX

General Provider Information

NPI Number : 1679856231
Entity Type Code : Individual
Provider Name (Legal Business Name) : ROSE ALTA BARNES PHARMACIST
Provider Business Mailing Address
First Line : 4309 NORWICK DR
Second Line :
City : FAYETTEVILLE
State : NC
Zip : 28314-2531
Country : US
Telephone Number : 910-483-9999
Fax Number :
Provider Business Practice Location Address
First Line : 3300 RAMSEY ST
Second Line :
City : FAYETTEVILLE
State : NC
Zip : 28301-7624
Country : US
Telephone Number : 910-822-4965
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/21/2011
Last Update Date : 09/21/2011

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Directions to “ ROSE ALTA BARNES PHARMACIST” Practice Location

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