Individual
MS. DIANE LOUISE BALDWIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.PH.
Contact information
Practice address
222 E BROADWAY, COLUMBIA, MO 65203-4258
(573) 874-3562
(573) 874-2891
Mailing address
222 E BROADWAY, COLUMBIA, MO 65203-4258
(573) 874-3562
(573) 874-2891
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
015300
KY
183500000X
Pharmacist
Primary
044960
MO
183500000X
Pharmacist
051.290910
IL
183500000X
Pharmacist
1-15151
KS
183500000X
Pharmacist
19946
IA
183500000X
Pharmacist
26013926A
IN
183500000X
Pharmacist
5302023040
MI
Other
Enumeration date
10/20/2011
Last updated
10/20/2011
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