Individual
DUSTIN BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1221 MAIN ST, THOMPSON FALLS, MT 59873-9355
(406) 827-4349
Mailing address
PO BOX 609, PLAINS, MT 59859-0609
(406) 826-3552
(406) 826-3599
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PHA-PHA-LIC-79739
MT
Other
Enumeration date
10/19/2021
Last updated
10/19/2021
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