MEDICARE: BLAKE HILTON 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	23005	AL

General Provider Information

NPI Number	:	1538844022
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BLAKE HILTON BAKER PHARMD

Provider Business Mailing Address
First Line	:	411 GREEN SPRINGS HWY
Second Line	:
City	:	HOMEWOOD
State	:	AL
Zip	:	35209-4909
Country	:	US
Telephone Number	:	205-944-1112
Fax Number	:

Provider Business Practice Location Address
First Line	:	411 GREEN SPRINGS HWY
Second Line	:
City	:	HOMEWOOD
State	:	AL
Zip	:	35209-4909
Country	:	US
Telephone Number	:	205-944-1112
Fax Number	:

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

Provider Enumeration Date	:	06/21/2023
Last Update Date	:	06/21/2023

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Directions to “ BLAKE HILTON BAKER PHARMD” Practice Location

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