Individual
ANDREA BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
15909 MANCHESTER RD, ELLISVILLE, MO 63011-2101
(636) 391-4064
(636) 527-7385
Mailing address
501 WETHERBY TERRACE DR, BALLWIN, MO 63021-4444
(636) 391-4064
(636) 527-7385
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051.289878
IL
183500000X
Pharmacist
2006002759
MO
Other
Enumeration date
02/19/2010
Last updated
02/19/2010
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