Provider Demographics
NPI:1104030642
Name:VALURE, BARRY JAMES (PHARMACIST)
Entity Type:Individual
Prefix:MR
First Name:BARRY
Middle Name:JAMES
Last Name:VALURE
Suffix:
Gender:M
Credentials:PHARMACIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:501 APACHE RD
Mailing Address - Street 2:
Mailing Address - City:HOUMA
Mailing Address - State:LA
Mailing Address - Zip Code:70360-6042
Mailing Address - Country:US
Mailing Address - Phone:985-868-4849
Mailing Address - Fax:985-580-2060
Practice Address - Street 1:1410 SAINT CHARLES ST
Practice Address - Street 2:
Practice Address - City:HOUMA
Practice Address - State:LA
Practice Address - Zip Code:70360-3935
Practice Address - Country:US
Practice Address - Phone:985-580-0469
Practice Address - Fax:985-580-0469
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA9832183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist