Individual
SAMUEL BAIDEN-AMISSAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7769 HIGHWAY 66, NEWBURGH, IN 47630-7732
(812) 853-5339
Mailing address
7769 HIGHWAY 66, NEWBURGH, IN 47630-7732
(812) 853-5339
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26024374A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1215942347
WALGREENS 7058
IN
Enumeration date
12/01/2011
Last updated
12/01/2011
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