MEDICARE: BARES INC.

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	5529	LA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	5DJ46	OTHER	LA	PTAN
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1992797104
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BARES INC.

Provider Business Mailing Address
First Line	:	PO BOX 228
Second Line	:
City	:	YOUNGSVILLE
State	:	LA
Zip	:	70592-0228
Country	:	US
Telephone Number	:	337-856-5761
Fax Number	:	337-856-8382

Provider Business Practice Location Address
First Line	:	601 LAFAYETTE STREET
Second Line	:
City	:	YOUNGSVILLE
State	:	LA
Zip	:	70592-0228
Country	:	US
Telephone Number	:	337-856-5761
Fax Number	:	337-856-8382

Authorized Official
Title or Position	:	MANAGER
Name	:	MRS. SHANNON LEIGH BARES
Credential	:
Telephone Number	:	337-856-5761

Provider Enumeration Date	:	08/16/2005
Last Update Date	:	05/18/2020

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Directions to “BARES INC. ” Practice Location

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