Individual
ANDREW KENNETH BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
190 E BANNOCK ST, BOISE, ID 83712-6241
(208) 381-2222
Mailing address
1439 N PINEVIEW LN, BOISE, ID 83713-7915
(208) 329-0550
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
P10737
ID
Other
Enumeration date
07/10/2023
Last updated
07/10/2023
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