Healthcare Provider Details

I. General information

NPI: 1912266412
Provider Name (Legal Business Name): RICHARD STANLEY BAKER JR. PHARMD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/04/2012
Last Update Date: 10/01/2026
Certification Date: 10/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5955 ZEAMER AVE
JBER AK
99506-3702
US

IV. Provider business mailing address

5955 ZEAMER AVE
JBER AK
99506-3702
US

V. Phone/Fax

Practice location:
  • Phone: 907-580-2322
  • Fax: 907-580-6555
Mailing address:
  • Phone: 907-580-2322
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberPS49815
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: