MEDICARE: DR. DANIAL EDWIN BAKER PHARMD, RPH

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
1	183500000X	Pharmacist	PH00010489	WA

General Provider Information

NPI Number	:	1235127317
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DANIAL EDWIN BAKER PHARMD, RPH

Provider Business Mailing Address
First Line	:	6715 S MORAN VIEW ST
Second Line	:
City	:	SPOKANE
State	:	WA
Zip	:	99224-8494
Country	:	US
Telephone Number	:	509-358-7660
Fax Number	:	509-358-7744

Provider Business Practice Location Address
First Line	:	6715 S MORAN VIEW ST
Second Line	:
City	:	SPOKANE
State	:	WA
Zip	:	99224-8494
Country	:	US
Telephone Number	:	509-358-7660
Fax Number	:	509-358-7744

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/12/2005
Last Update Date	:	07/08/2007

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