Individual
REBECCA BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
308 S HUNTINGTON ST, SYRACUSE, IN 46567-1572
(574) 457-4000
Mailing address
308 S HUNTINGTON ST, SYRACUSE, IN 46567-1572
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26027759A
IN
Other
Enumeration date
12/06/2020
Last updated
12/06/2020
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