Individual
DR. EZEKIEL MONTRAVILLE BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
1410 DONELSON PIKE STE B6, NASHVILLE, TN 37217-2952
(615) 866-6292
(615) 866-6293
Mailing address
1813 HEIMAN ST, NASHVILLE, TN 37208-2407
(256) 453-4908
(615) 866-6293
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
016117
AZ
183500000X
Pharmacist
021469
LA
183500000X
Pharmacist
023693
GA
183500000X
Pharmacist
23922
MD
183500000X
Pharmacist
Primary
33488
TN
183500000X
Pharmacist
5302044430
MI
Other
Enumeration date
07/25/2007
Last updated
08/06/2021
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