MEDICARE: CHARLES MARCELLUS LARBIE

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	37357	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1891835815
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHARLES MARCELLUS LARBIE

Provider Business Mailing Address
First Line	:	9528 WEBB CHAPEL RD
Second Line	:	SUITE # 110
City	:	DALLAS
State	:	TX
Zip	:	75220-4938
Country	:	US
Telephone Number	:	214-528-7133
Fax Number	:

Provider Business Practice Location Address
First Line	:	9528 WEBB CHAPEL RD
Second Line	:	SUITE # 110
City	:	DALLAS
State	:	TX
Zip	:	75220-4938
Country	:	US
Telephone Number	:	214-528-7133
Fax Number	:

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

Provider Enumeration Date	:	02/07/2007
Last Update Date	:	02/12/2026

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Directions to “ CHARLES MARCELLUS LARBIE ” Practice Location

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