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Individual

CODY MICHAEL BAKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHARM.D.

Contact information

Practice address
1500 HIGHWAY 169 N, ALGONA, IA 50511-1019
(515) 295-9238
(515) 295-9214
Mailing address
1500 HIGHWAY 169 N, ALGONA, IA 50511-1019
(515) 295-9238
(515) 295-9214

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
22784
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
22784
IOWA BOARD OF PHARMACY LICENSE
IA
Enumeration date
01/01/2020
Last updated
01/01/2020
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