Individual
LOIS NICHOLE BAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
210 REGIONAL DR, ELK CITY, OK 73644-6472
(580) 225-1575
Mailing address
PO BOX 1122, CHEYENNE, OK 73628-1122
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
14465
OK
Other
Enumeration date
10/28/2020
Last updated
10/28/2020
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