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NPI Code Detail

MEDICARE: MR. RICHARD J. BAXTER RPH.

MEDICARE: MR. RICHARD J. BAXTER 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
1183500000XPharmacist5302017317MI

General Provider Information

NPI Number : 1134236425
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. RICHARD J. BAXTER RPH.
Provider Business Mailing Address
First Line : 1623 HURT DR
Second Line :
City : DELTON
State : MI
Zip : 49046-9727
Country : US
Telephone Number : 269-623-2038
Fax Number :
Provider Business Practice Location Address
First Line : 117 W PATERSON ST
Second Line :
City : KALAMAZOO
State : MI
Zip : 49007-2557
Country : US
Telephone Number : 269-340-2685
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/24/2006
Last Update Date : 07/08/2007

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