Individual
DAVID WAYNE BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
6101 W 70TH ST, SHREVEPORT, LA 71129-2507
(318) 688-1448
(318) 688-9063
Mailing address
6101 W 70TH ST, SHREVEPORT, LA 71129-2507
(318) 688-1448
(318) 688-9063
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
11555
LA
Other
Enumeration date
08/30/2010
Last updated
08/30/2010
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