Individual
DR. BREANNE EZARIK BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
1329 TARGET WAY, MORGANTOWN, WV 26501
(304) 599-5581
Mailing address
1329 TARGET WAY, MORGANTOWN, WV 26501
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP446205
PA
Other
Enumeration date
10/18/2011
Last updated
11/17/2020
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