Organization
BARES INC.
Active
Other names
Farmer's Drugs & Gifts
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHANNON LEIGH BARES (MANAGER)
(337) 856-5761
Entity
Organization
Contact information
Practice address
601 LAFAYETTE STREET, YOUNGSVILLE, LA 70592-0228
(337) 856-5761
(337) 856-8382
Mailing address
PO BOX 228, YOUNGSVILLE, LA 70592-0228
(337) 856-5761
(337) 856-8382
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5529
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1274887
—
LA
01
—
5DJ46
PTAN
LA
Enumeration date
08/16/2005
Last updated
05/18/2020
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