Individual
JASON LON CRON BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
215 FAST ICE DR, MIDLAND, MI 48642-6167
(989) 837-3636
Mailing address
215 FAST ICE DR, MIDLAND, MI 48642-6167
(989) 837-3636
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302033398
MI
Other
Enumeration date
04/14/2008
Last updated
09/13/2016
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