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NPI Code Detail

MEDICARE: AUSTIN BAKER PHARMD

MEDICARE: AUSTIN 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
1183500000XPharmacist4008WY

General Provider Information

NPI Number : 1487156824
Entity Type Code : Individual
Provider Name (Legal Business Name) : AUSTIN BAKER PHARMD
Provider Business Mailing Address
First Line : 1601 ARABIAN DR
Second Line :
City : LARAMIE
State : WY
Zip : 82070-5397
Country : US
Telephone Number : 303-378-4224
Fax Number :
Provider Business Practice Location Address
First Line : 4005 E GRAND AVE
Second Line :
City : LARAMIE
State : WY
Zip : 82070-5161
Country : US
Telephone Number : 307-742-1557
Fax Number : 307-742-0787
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/01/2018
Last Update Date : 03/01/2018

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Directions to “ AUSTIN BAKER PHARMD” Practice Location

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