Individual
BETHANY BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
2551 GREENWOOD RD STE 110, SHREVEPORT, LA 71103-3984
(318) 631-2005
Mailing address
2551 GREENWOOD RD STE 110, SHREVEPORT, LA 71103-3984
(318) 631-2005
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PST.020541
LA
390200000X
Student in an Organized Health Care Education/Training Program
06006414
OH
Other
Enumeration date
10/16/2007
Last updated
01/13/2026
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