Individual
BRIAN GERARD BAKER
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
R.PH.
Contact information
Practice address
REAR 1129 NORTHERN BLVD, CLARKS SUMMIT, PA 18411
(570) 586-3668
Mailing address
40 OLD MILL RD, WILKES BARRE, PA 18702-7319
(570) 655-9063
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP030496L
PA
Other
Enumeration date
08/19/2005
Last updated
07/08/2007
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