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General NPI Number Information
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NPI Number | 1114975497
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Entity Type | Organization
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Legal Business Name | BAKER PHARMACY INC.
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Dates
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Enumeration Date | 05/05/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 2600 W 12 MILE RD
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City | BERKLEY
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State | MI
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Zip | 48072-1628
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Country | US
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Telephone | 248-541-2981
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Fax | 248-541-2907
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Provider Business Mailing Address
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Address Line | 2600 W 12 MILE RD
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City | BERKLEY
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State | MI
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Zip | 48072-1628
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Country | US
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Telephone | 248-541-2981
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Fax | 248-541-2907
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Authorized Official
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Title or Position | PRESIDENT/R.PH
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Name | MR. JAMES MILLMAN
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Credential |
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Telephone | 248-541-2981
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 5301002035
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License Number State | MI
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