Organization
BAKER PHARMACIES INC
Active
Other names
MEDICINE SHOPPE
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT BAKER RPH (OWNER PHARMACIST)
(618) 283-2500
Entity
Organization
Contact information
Practice address
1442 N 8TH ST, VANDALIA, IL 62471-1027
(618) 283-2500
(618) 283-2572
Mailing address
1442 N 8TH ST, VANDALIA, IL 62471-1027
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
IL
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1461374
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
08/20/2006
Last updated
03/07/2023
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