Individual
MR. DANIEL THOMAS BAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.C., R.PH.
Contact information
Practice address
1835 N MAIN ST, ROSWELL, NM 88201-5168
(575) 624-0423
(575) 622-6414
Mailing address
905 S EISENHOWER RD, ROSWELL, NM 88203-8706
(575) 637-8932
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP00004136
NM
Other
Enumeration date
08/06/2008
Last updated
08/06/2008
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