Individual
EUGENE BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPH
Contact information
Practice address
155 JESSIE LN NW, CHARLESTON, TN 37310-5119
(423) 476-7449
Mailing address
155 JESSIE LN NW, CHARLESTON, TN 37310-5119
(423) 476-7449
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
2854
TN
Other
Enumeration date
09/21/2010
Last updated
09/21/2010
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