Individual
TIMOTHY LEE BAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMACIST
Contact information
Practice address
5636 US ROUTE 60, HUNTINGTON, WV 25705-2148
(304) 736-2098
Mailing address
6136 SKYLINE DR, ASHLAND, KY 41102-8208
(606) 920-9933
Taxonomy
Speciality
Code
Description
License number
State
1835N1003X
Nutrition Support Pharmacist
Primary
RP0007348
WV
Other
Enumeration date
05/21/2015
Last updated
05/21/2015
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