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NPI Code Detail

MEDICARE: LAUREN B BALDWIN PHARMD

MEDICARE: LAUREN B BALDWIN 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
11835P0018XPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist26029028AIN
21835P0018XPharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistKY014694KY

General Provider Information

NPI Number : 1679171029
Entity Type Code : Individual
Provider Name (Legal Business Name) : LAUREN B BALDWIN PHARMD
Provider Business Mailing Address
First Line : 3432 HARDWOOD FOREST DR
Second Line :
City : LOUISVILLE
State : KY
Zip : 40214-6508
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 5533 NEW CUT RD
Second Line :
City : LOUISVILLE
State : KY
Zip : 40214-4329
Country : US
Telephone Number : 502-361-5943
Fax Number : 502-361-7129
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/16/2020
Last Update Date : 10/16/2020

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Directions to “ LAUREN B BALDWIN PHARMD” Practice Location

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