Individual
COREY BAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
1003 KOALA DR, OMAK, WA 98841-9247
(509) 422-1913
Mailing address
PO BOX 7, RIVERSIDE, WA 98849-0007
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH61200192
WA
Other
Enumeration date
12/15/2021
Last updated
12/15/2021
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