Individual
MYA BAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
100 CALLEN BLVD, SUMMERVILLE, SC 29486-2807
(854) 529-3100
Mailing address
571 CROSS PARK LN, SUMMERVILLE, SC 29486-8299
(605) 490-3650
Taxonomy
Speciality
Code
Description
License number
State
1835X0200X
Oncology Pharmacist
Primary
42536
SC
Other
Enumeration date
08/22/2023
Last updated
08/22/2023
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