Individual
CAROLYN BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5170 S CLEVELAND AVE, FORT MYERS, FL 33907-2142
(239) 790-1804
Mailing address
5170 S CLEVELAND AVE, FORT MYERS, FL 33907-2142
(239) 790-1804
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PS23012
FL
Other
Enumeration date
02/07/2014
Last updated
02/07/2014
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