Individual
JORDANA BAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5509 HIGHWAY 45 ALTERNATE, WEST POINT, MS 39773
(662) 494-7267
Mailing address
5509 HIGHWAY 45 ALTERNATE, WEST POINT, MS 39773
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
E13960
MS
Other
Enumeration date
10/24/2016
Last updated
10/24/2016
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