Provider Demographics
NPI:1124450432
Name:BARCHE, LAWRENCE JAY (PHARMD)
Entity type:Individual
Prefix:DR
First Name:LAWRENCE
Middle Name:JAY
Last Name:BARCHE
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:24501 VIA MAR MONTE
Mailing Address - Street 2:#73
Mailing Address - City:CARMEL
Mailing Address - State:CA
Mailing Address - Zip Code:93923-9445
Mailing Address - Country:US
Mailing Address - Phone:831-626-8728
Mailing Address - Fax:831-626-8728
Practice Address - Street 1:24501 VIA MAR MONTE
Practice Address - Street 2:#73
Practice Address - City:CARMEL
Practice Address - State:CA
Practice Address - Zip Code:93923-9445
Practice Address - Country:US
Practice Address - Phone:831-626-8728
Practice Address - Fax:831-626-8728
Is Sole Proprietor?:Yes
Enumeration Date:2013-08-09
Last Update Date:2013-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA21113183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist