Provider Demographics
NPI:1336216381
Name:KOCUREK, BARBARA (RPH, PHARMD)
Entity Type:Individual
Prefix:
First Name:BARBARA
Middle Name:
Last Name:KOCUREK
Suffix:
Gender:F
Credentials:RPH, PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2317 STONE BRIDGE DR
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76006-2774
Mailing Address - Country:US
Mailing Address - Phone:817-649-4078
Mailing Address - Fax:
Practice Address - Street 1:2317 STONE BRIDGE DR
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76006-2774
Practice Address - Country:US
Practice Address - Phone:817-649-4078
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-11-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX366131835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy