Individual
JACQUELINE RENEE BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
8333 MARTIN WAY E, LACEY, WA 98516-5808
(360) 455-0029
Mailing address
8439 13TH AVE SE, OLYMPIA, WA 98513-9469
(847) 431-3231
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH60768805
WA
Other
Enumeration date
09/21/2017
Last updated
09/21/2017
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