Healthcare Provider Details

I. General information

NPI: 1427157346
Provider Name (Legal Business Name): RENEE JEAN BAKER RPH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/21/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

UNIVERSITY DRIVE C (132 VA PITTSBURGH HEALTHCARE SYSTEM
PITTSBURGH PA
15240
US

IV. Provider business mailing address

1001 WOODHILL DR
GIBSONIA PA
15044-9271
US

V. Phone/Fax

Practice location:
  • Phone: 412-688-6304
  • Fax:
Mailing address:
  • Phone: 724-449-3933
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P1200X
TaxonomyPharmacotherapy Pharmacist
License NumberRP031663L
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: