Diane Bara, RPH

NPI #1619578507 in Kilgore, Texas

Provider Information

NPI Number: 1619578507
Entity Type: Individual
Name: Diane Bara, RPH
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Credential: RPH
Enumeration Date: Nov 5, 2020
Last Updated: Nov 5, 2020

Practice Location

Address: 1201 STONE ST
City: Kilgore
State: Texas
ZIP Code: 75662-5433
Phone: (903) 983-1056

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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