MEDICARE: MARCUS WILLIAM BAKER RPH

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	2001002627	MO

General Provider Information

NPI Number	:	1902838568
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARCUS WILLIAM BAKER RPH

Provider Business Mailing Address
First Line	:	1150 GRAHAM RD STE 102
Second Line	:
City	:	FLORISSANT
State	:	MO
Zip	:	63031-8077
Country	:	US
Telephone Number	:	314-645-5282
Fax Number	:

Provider Business Practice Location Address
First Line	:	1150 GRAHAM RD STE 102
Second Line	:
City	:	FLORISSANT
State	:	MO
Zip	:	63031-8077
Country	:	US
Telephone Number	:	314-657-9010
Fax Number	:

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

Provider Enumeration Date	:	07/06/2006
Last Update Date	:	05/09/2025

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Directions to “ MARCUS WILLIAM BAKER RPH” Practice Location

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