Organization
BAKER PHARMACY INC
Active
Other names
BAKER PHARMACY INC
Organization subpart
No
Provider details
NPI number
Authorized official
DOUG BAKER (OWNER PRESIDENT)
(918) 225-2200
Entity
Organization
Contact information
Practice address
1022 E CHERRY ST, CUSHING, OK 74023-4102
(918) 225-2200
(918) 225-2201
Mailing address
1022 E CHERRY ST, CUSHING, OK 74023-4102
(918) 225-2200
(918) 225-2201
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
82059
OK
3336C0004X
Compounding Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
—
—
3336M0003X
Managed Care Organization Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100235530A
—
OK
01
—
2072717
PK
—
Enumeration date
01/04/2007
Last updated
12/22/2020
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