Provider Demographics
NPI:1154301943
Name:BARE, CARRIE MICHELE (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:CARRIE
Middle Name:MICHELE
Last Name:BARE
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PSC 80 BOX 10694
Mailing Address - Street 2:
Mailing Address - City:APO
Mailing Address - State:AP
Mailing Address - Zip Code:96367
Mailing Address - Country:US
Mailing Address - Phone:8198-958-0435
Mailing Address - Fax:
Practice Address - Street 1:NAVAL HOSPITAL ATTN:PHARMACY DEPT
Practice Address - Street 2:BLDG 6000 CAMP LESTER
Practice Address - City:CHATAN-CHO NAKAGAMI-GUN
Practice Address - State:OKINAWA
Practice Address - Zip Code:9040103
Practice Address - Country:JP
Practice Address - Phone:8198-643-7547
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-01-19
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS35961183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist