Provider Demographics
NPI:1689998965
Name:MACBLANE, BARBARA A (RPH)
Entity Type:Individual
Prefix:
First Name:BARBARA
Middle Name:A
Last Name:MACBLANE
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2887 WESTINGHOUSE RD
Mailing Address - Street 2:
Mailing Address - City:HORSEHEADS
Mailing Address - State:NY
Mailing Address - Zip Code:14845-8110
Mailing Address - Country:US
Mailing Address - Phone:607-796-2193
Mailing Address - Fax:607-796-4207
Practice Address - Street 1:2887 WESTINGHOUSE RD
Practice Address - Street 2:
Practice Address - City:HORSEHEADS
Practice Address - State:NY
Practice Address - Zip Code:14845-8110
Practice Address - Country:US
Practice Address - Phone:607-796-2193
Practice Address - Fax:607-796-4207
Is Sole Proprietor?:No
Enumeration Date:2010-03-16
Last Update Date:2010-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY037591183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist