Provider Demographics
NPI:1245225812
Name:RABAR INC
Entity Type:Organization
Organization Name:RABAR INC
Other - Org Name:BARRY LATHAM'S DRUG
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:BARRY
Authorized Official - Middle Name:ALAN
Authorized Official - Last Name:LATHAM
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:256-753-9500
Mailing Address - Street 1:8180 AL HIGHWAY 69
Mailing Address - Street 2:
Mailing Address - City:GUNTERSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35976-7120
Mailing Address - Country:US
Mailing Address - Phone:256-753-9500
Mailing Address - Fax:256-753-9501
Practice Address - Street 1:8180 ALABAMA HIGHWAY 69
Practice Address - Street 2:
Practice Address - City:GUNTERSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35976
Practice Address - Country:US
Practice Address - Phone:256-753-9500
Practice Address - Fax:256-753-9501
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:RABAR INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2005-09-20
Last Update Date:2023-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
332B00000X, 332BX2000X, 3336C0004X, 335E00000X
AL112863333600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
No3336C0004XSuppliersPharmacyCompounding Pharmacy
No335E00000XSuppliersProsthetic/Orthotic Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL1245225812Medicaid
AL0124545OtherNAPB
AL112863OtherSTATE BOARD OF PHARMACY
AL6297570001Medicare NSC