Individual
DAVID LOREN BAKER III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
711 BONNIE CIR, MELBOURNE, FL 32901-4123
(321) 604-9150
Mailing address
711 BONNIE CIR, MELBOURNE, FL 32901-4123
(321) 604-9150
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PS53416
FL
Other
Enumeration date
06/08/2021
Last updated
06/08/2021
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