MEDICARE: RYAN BAKER PHARMD

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	RP443586	PA
2	183500000X	Pharmacist	19375	MD

General Provider Information

NPI Number	:	1295964336
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RYAN BAKER PHARMD

Provider Business Mailing Address
First Line	:	1595 OPOSSUMTOWN PIKE
Second Line	:
City	:	FREDERICK
State	:	MD
Zip	:	21702-4673
Country	:	US
Telephone Number	:	301-631-2013
Fax Number	:	301-631-2148

Provider Business Practice Location Address
First Line	:	1595 OPOSSUMTOWN PIKE
Second Line	:
City	:	FREDERICK
State	:	MD
Zip	:	21702-4673
Country	:	US
Telephone Number	:	301-631-2013
Fax Number	:	301-631-2148

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

Provider Enumeration Date	:	07/10/2009
Last Update Date	:	07/13/2012

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Directions to “ RYAN BAKER PHARMD” Practice Location

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