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Individual

RYAN BAKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHARMD

Contact information

Practice address
1595 OPOSSUMTOWN PIKE, FREDERICK, MD 21702-4673
(301) 631-2013
(301) 631-2148
Mailing address
1595 OPOSSUMTOWN PIKE, FREDERICK, MD 21702-4673
(301) 631-2013
(301) 631-2148

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
19375
MD
183500000X
Pharmacist
RP443586
PA

Other

Enumeration date
07/10/2009
Last updated
07/13/2012
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