Individual
JACK ROY BARKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3521 NW SAMARITAN DR STE 202, CORVALLIS, OR 97330-4744
(541) 768-5225
Mailing address
365 MEADOWLARK CT SE, ALBANY, OR 97322-6470
(805) 720-2608
Taxonomy
Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
RPH-0016166
OR
Other
Enumeration date
06/07/2016
Last updated
03/28/2018
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