Organization
JOHN R BAIRD MD PLLC
Active
Other names
Advanced Rx Pharmacy 022
Organization subpart
No
Provider details
NPI number
Authorized official
KATI GAINOUS (PHARMACY PROGRAM ADMINISTRATOR)
(925) 621-2902
Entity
Organization
Contact information
Practice address
3012 EASTPOINT PKWY, LOUISVILLE, KY 40223-4185
(502) 339-6550
(502) 379-8588
Mailing address
4683 CHABOT DR, SUITE 200, PLEASANTON, CA 94588-3830
(925) 621-2902
(925) 522-2930
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
P07561
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2139992
PK
—
Enumeration date
04/25/2013
Last updated
07/01/2013
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