Provider Demographics
NPI:1538766563
Name:BARTLEY ENTERPRISES LLC
Entity type:Organization
Organization Name:BARTLEY ENTERPRISES LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PIC
Authorized Official - Prefix:
Authorized Official - First Name:TANYA
Authorized Official - Middle Name:
Authorized Official - Last Name:TURNER
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:318-256-6943
Mailing Address - Street 1:PO BOX 36
Mailing Address - Street 2:
Mailing Address - City:MONTGOMERY
Mailing Address - State:LA
Mailing Address - Zip Code:71454-0036
Mailing Address - Country:US
Mailing Address - Phone:318-646-6877
Mailing Address - Fax:
Practice Address - Street 1:11634 TEXAS HWY
Practice Address - Street 2:
Practice Address - City:MANY
Practice Address - State:LA
Practice Address - Zip Code:71449
Practice Address - Country:US
Practice Address - Phone:318-256-6943
Practice Address - Fax:318-256-6946
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-10-02
Last Update Date:2021-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy