Individual
AUSTIN BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
4005 E GRAND AVE, LARAMIE, WY 82070-5161
(307) 742-1557
(307) 742-0787
Mailing address
1601 ARABIAN DR, LARAMIE, WY 82070-5397
(303) 378-4224
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
4008
WY
Other
Enumeration date
03/01/2018
Last updated
03/01/2018
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