Individual
JACQUELINE PIERICK BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
1712 S GARFIELD AVE, TRAVERSE CITY, MI 49686-4338
(231) 941-8432
Mailing address
634 BERTINA LN, TRAVERSE CITY, MI 49696-8664
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
5302038918
MI
1835G0303X
Geriatric Pharmacist
Primary
5302038918
MI
Other
Enumeration date
09/25/2013
Last updated
09/25/2013
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