Organization
BAKER MEDICAL, INC.
Active
Other names
BAKER MEDICAL, INC.
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES R BAKER PHARM. D. (OWNER)
(501) 932-0404
Entity
Organization
Contact information
Practice address
1014 HARKRIDER ST, SUITE 500, CONWAY, AR 72032-4404
(501) 932-0404
(501) 764-0505
Mailing address
1014 HARKRIDER ST, SUITE 500, CONWAY, AR 72032-4404
(501) 932-0404
(501) 764-0505
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
MG00515
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
148671716
—
AR
01
—
49919
ARKANSAS BLUE CROSS
AR
01
—
C08480131
EDI SUBMITTER ID
AR
Enumeration date
06/23/2006
Last updated
04/24/2008
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