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Organization
BAKER MEDICAL, INC
Active
Organization
BAKER MEDICAL, INC
Active
Other names
Baker Medical Clinton
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES R BAKER PHARM. D. (OWNER)
(501) 932-0404
Entity
Organization
Contact information
Practice address
2097 HIGHWAY 65 S, CLINTON, AR 72031-6737
(501) 745-3040
Mailing address
1014 HARKRIDER ST, SUITE 500, CONWAY, AR 72032-4404
(501) 932-0404
(501) 932-0387
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
NG00612
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
154826716
—
AR
01
—
C08480131
EDI SUBMITTER ID
AR
Enumeration date
10/25/2006
Last updated
05/15/2012
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