Individual
DR. MARIANTHONY BAXTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
2720 MAIN ST, BRIDGEPORT, CT 06606-5363
(959) 261-7922
Mailing address
2720 MAIN ST, BRIDGEPORT, CT 06606-5363
(203) 931-1190
(203) 931-1710
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PCT.0012265
CT
Other
Enumeration date
04/08/2016
Last updated
10/22/2025
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