Individual
STEPHANIE J BAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
1000 SAGAMORE PKWY W, WEST LAFAYETTE, IN 47906-1446
(765) 497-2300
(765) 497-2311
Mailing address
905 S COLLEGE AVE, RENSSELAER, IN 47978-3006
(219) 866-0466
(219) 866-0456
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26019934A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
26019934A
STATE LICENSE NUMBER
IN
Enumeration date
08/31/2011
Last updated
05/11/2023
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