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Individual
DR. BEAU BAKER
Active
Individual
DR. BEAU BAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
48607
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
48607
PHARMACIST LICENSE
TX
Enumeration date
04/01/2015
Last updated
12/01/2022
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