Individual
GABE MATHEW BARNES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
2292 MAIN ST, GREEN BAY, WI 54311-5199
(920) 639-8105
Mailing address
2292 MAIN ST, GREEN BAY, WI 54311-5199
(920) 465-7737
(920) 465-8195
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
15736
WI
Other
Enumeration date
10/13/2020
Last updated
10/13/2020
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