Individual
RONALD L. BAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
R.PH.
Contact information
Practice address
757 W BROADWAY, COUNCIL BLUFFS, IA 51501-4103
(712) 328-3277
(712) 325-1469
Mailing address
15310 E NORTHRIDGE DR, LOUISVILLE, NE 68037-2866
(402) 234-2767
(402) 234-2767
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
14339
IA
Other
Enumeration date
01/17/2007
Last updated
07/08/2007
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