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NPI Code Detail

MEDICARE: DR. ADAM CARMEN BAXTER PHARMD

MEDICARE:  DR. ADAM CARMEN BAXTER  PHARMD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacist1642AK

General Provider Information

NPI Number : 1093971020
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ADAM CARMEN BAXTER PHARMD
Provider Business Mailing Address
First Line : 7111 MIRANDA DR
Second Line :
City : ANCHORAGE
State : AK
Zip : 99507-5107
Country : US
Telephone Number : 731-225-4469
Fax Number :
Provider Business Practice Location Address
First Line : 7111 MIRANDA DR
Second Line :
City : ANCHORAGE
State : AK
Zip : 99507-5107
Country : US
Telephone Number : 731-225-4469
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/30/2008
Last Update Date : 07/30/2008

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Directions to “ DR. ADAM CARMEN BAXTER PHARMD” Practice Location

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