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Organization

BAKER DRUG

Active
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Organization

BAKER DRUG

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ALYSE DANIELLE WEBBER (OWNER)
(406) 778-2214
Entity
Organization

Contact information

Practice address
103 S MAIN ST, BAKER, MT 59313
(406) 778-2214
(406) 778-2247
Mailing address
PO BOX 459, BAKER, MT 59313-0459
(406) 778-2214
(406) 778-2247

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
3336C0003X
Community/Retail Pharmacy
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0121710
MT
Enumeration date
11/02/2006
Last updated
09/27/2023
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