Organization
BAKERS PHARMACY INC
Active
Other names
BAKERS PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN BAKER BS (PRESIDENT)
(502) 535-4466
Entity
Organization
Contact information
Practice address
3399 MAIN ST, STAMPING GROUND, KY 40379-9081
(502) 535-4466
(502) 535-4591
Mailing address
3399 MAIN ST, STAMPING GROUND, KY 40379-9081
(502) 535-4466
(502) 535-4591
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
P02145
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2031455
PK
—
05
—
54023791
—
KY
Enumeration date
02/02/2007
Last updated
06/28/2016
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