Provider Demographics
NPI:1104020676
Name:BARKER, LEE JAMES (RPH)
Entity type:Individual
Prefix:
First Name:LEE
Middle Name:JAMES
Last Name:BARKER
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 1:193 RAINBOW DR.#9331
Mailing Address - Street 2:
Mailing Address - City:LIVINGSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77399-1093
Mailing Address - Country:US
Mailing Address - Phone:301-514-4793
Mailing Address - Fax:
Practice Address - Street 1:193 RAINBOW DR.#9331
Practice Address - Street 2:
Practice Address - City:LIVINGSTON
Practice Address - State:TX
Practice Address - Zip Code:77399-1093
Practice Address - Country:US
Practice Address - Phone:301-514-4793
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-06-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD11589183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist