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NPI Code Detail

MEDICARE: BARBARA D DOAK RPH, CDE

MEDICARE:   BARBARA D DOAK  RPH, CDE
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
1183500000XPharmacist03136342OH
2183500000XPharmacist4018WV

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
20952-0470OTHERWVCDE CERTIFICATION

General Provider Information

NPI Number : 1720175607
Entity Type Code : Individual
Provider Name (Legal Business Name) : BARBARA D DOAK RPH, CDE
Provider Business Mailing Address
First Line : 136 OAK GROVE LN
Second Line :
City : MARIETTA
State : OH
Zip : 45750-2555
Country : US
Telephone Number : 304-377-6442
Fax Number :
Provider Business Practice Location Address
First Line : 2300 MACCORKLE AVE SE
Second Line :
City : CHARLESTON
State : WV
Zip : 25304-1045
Country : US
Telephone Number : 304-357-4854
Fax Number : 304-357-4868
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/10/2006
Last Update Date : 07/28/2020

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Directions to “ BARBARA D DOAK RPH, CDE” Practice Location

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