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NPI Code Detail

MEDICARE: MS. KIMBERLY A BARWICK R.PH.

MEDICARE: MS. KIMBERLY A BARWICK R.PH.
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
1183500000XPharmacist17330GA

General Provider Information

NPI Number : 1912243379
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. KIMBERLY A BARWICK R.PH.
Provider Business Mailing Address
First Line : 1710 DEWEY THOMAS RD
Second Line :
City : DEXTER
State : GA
Zip : 31019-3407
Country : US
Telephone Number : 478-290-7243
Fax Number :
Provider Business Practice Location Address
First Line : 507 INDUSTRIAL BLVD
Second Line :
City : DUBLIN
State : GA
Zip : 31021-1714
Country : US
Telephone Number : 478-272-8093
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/12/2012
Last Update Date : 12/12/2012

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