# BAKER DRUG LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Star Pharmacy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1558790410
- **Authorized official:** MR. GAROLD BAKER R.PH (R,PH)
- **Authorized official phone:** (417) 741-6266

## Contact information

- **Practice address:** 118 E. ROLLA STREET, HARTVILLE, MO 65667-0056
- **Practice address phone:** (417) 741-6266
- **Practice address fax:** (417) 741-1616
- **Mailing address:** PO BOX 56, 118 E. ROLLA STREET, HARTVILLE, MO 65667-0056
- **Mailing address phone:** (417) 741-6266
- **Mailing address fax:** (417) 741-1616

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | 2005039922 | MO | Yes |

## Other

- **Enumeration date:** 11/01/2013
- **Last updated:** 11/01/2013