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NPI Code Detail

MEDICARE: MICHAEL ANDREW BAKER PHARMD

MEDICARE: MICHAEL ANDREW 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
1183500000XPharmacistPD15344AR

General Provider Information

NPI Number : 1831799139
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHAEL ANDREW BAKER PHARMD
Provider Business Mailing Address
First Line : 2100 N 62ND ST
Second Line :
City : FORT SMITH
State : AR
Zip : 72904-5163
Country : US
Telephone Number : 479-782-0606
Fax Number : 479-783-2206
Provider Business Practice Location Address
First Line : 2100 N 62ND ST
Second Line :
City : FORT SMITH
State : AR
Zip : 72904-5163
Country : US
Telephone Number : 479-782-0606
Fax Number : 479-783-2206
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/27/2020
Last Update Date : 10/27/2020

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Directions to “ MICHAEL ANDREW BAKER PHARMD” Practice Location

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