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Individual

DR. EZEKIEL MONTRAVILLE BAKER

Active
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Individual

DR. EZEKIEL MONTRAVILLE BAKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHARM.D.

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
016117
AZ
183500000X
Pharmacist
021469
LA
183500000X
Pharmacist
023693
GA
183500000X
Pharmacist
23922
MD
183500000X
Pharmacist
Primary
33488
TN
183500000X
Pharmacist
5302044430
MI

Other

Enumeration date
07/25/2007
Last updated
08/06/2021
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