Provider Demographics
NPI:1013515956
Name:BARKER'S PHARMACY
Entity Type:Organization
Organization Name:BARKER'S PHARMACY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:WALTER
Authorized Official - Middle Name:M
Authorized Official - Last Name:BARKER
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:225-776-5922
Mailing Address - Street 1:62550 BELLEVIEW RD
Mailing Address - Street 2:
Mailing Address - City:PLAQUEMINE
Mailing Address - State:LA
Mailing Address - Zip Code:70764-6308
Mailing Address - Country:US
Mailing Address - Phone:225-776-5922
Mailing Address - Fax:
Practice Address - Street 1:23460 EDEN ST
Practice Address - Street 2:
Practice Address - City:PLAQUEMINE
Practice Address - State:LA
Practice Address - Zip Code:70764-2528
Practice Address - Country:US
Practice Address - Phone:225-776-5922
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-10-13
Last Update Date:2020-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy