Provider Demographics
NPI:1770815045
Name:BARCOMB, LEE M (RPH)
Entity type:Individual
Prefix:MR
First Name:LEE
Middle Name:M
Last Name:BARCOMB
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:57 CENTRE DR
Mailing Address - Street 2:
Mailing Address - City:PLATTSBURGH
Mailing Address - State:NY
Mailing Address - Zip Code:12901-6553
Mailing Address - Country:US
Mailing Address - Phone:518-563-5601
Mailing Address - Fax:
Practice Address - Street 1:57 CENTRE DR
Practice Address - Street 2:
Practice Address - City:PLATTSBURGH
Practice Address - State:NY
Practice Address - Zip Code:12901-6553
Practice Address - Country:US
Practice Address - Phone:518-563-5601
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-02-11
Last Update Date:2010-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY044438183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist