Provider Demographics
NPI:1376875591
Name:BARRACHINA, JAIME ROBERTO (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:JAIME
Middle Name:ROBERTO
Last Name:BARRACHINA
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1801 S 10TH ST
Mailing Address - Street 2:
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78503-5401
Mailing Address - Country:US
Mailing Address - Phone:956-661-1351
Mailing Address - Fax:956-661-1132
Practice Address - Street 1:1801 S 10TH ST
Practice Address - Street 2:
Practice Address - City:MCALLEN
Practice Address - State:TX
Practice Address - Zip Code:78503-5401
Practice Address - Country:US
Practice Address - Phone:956-661-1351
Practice Address - Fax:956-661-1132
Is Sole Proprietor?:Yes
Enumeration Date:2010-02-12
Last Update Date:2010-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX48057183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist