Provider Demographics
NPI:1528260452
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:MR
Authorized Official - First Name:RONNIE
Authorized Official - Middle Name:WAYNE
Authorized Official - Last Name:BARKER
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:254-435-2772
Mailing Address - Street 1:103 S. MAIN ST.
Mailing Address - Street 2:
Mailing Address - City:MERIDIAN
Mailing Address - State:TX
Mailing Address - Zip Code:76665
Mailing Address - Country:US
Mailing Address - Phone:254-435-2772
Mailing Address - Fax:254-435-2545
Practice Address - Street 1:103 S. MAIN ST.
Practice Address - Street 2:
Practice Address - City:MERIDIAN
Practice Address - State:TX
Practice Address - Zip Code:76665
Practice Address - Country:US
Practice Address - Phone:254-435-2772
Practice Address - Fax:254-435-2545
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-04
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX108063336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX142647Medicaid
TX4567131OtherNABP #