Individual
DAVE BARTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
100 S BEELINE HWY, PAYSON, AZ 85541-4809
(928) 474-1599
Mailing address
707 N GRAPEVINE DR, PAYSON, AZ 85541-1915
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
S013632
AZ
Other
Enumeration date
11/15/2011
Last updated
11/15/2011
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