Individual
AUSTIN BAEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4080 DOUGLAS BLVD, GRANITE BAY, CA 95746-5900
(916) 380-3262
Mailing address
8282 CALVINE RD, UNIT 3075, SACRAMENTO, CA 95828-9314
(213) 254-7452
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
71702
CA
Other
Enumeration date
03/29/2016
Last updated
03/29/2016
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