Organization
MICHAEL BAKER PHARMACY, INC.
Active
Other names
Baker Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL A BACKER P.D. (OWNER, CEO)
(870) 448-3336
Entity
Organization
Contact information
Practice address
101 W. MAIN ST., MARSHALL, AR 72650
(870) 448-3336
(870) 448-3335
Mailing address
PO BOX 278, MARSHALL, AR 72650
(870) 448-3336
(870) 448-3335
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
AR20229
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
139262407
—
AR
01
—
1995262
PK
—
Enumeration date
11/10/2006
Last updated
02/14/2020
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