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Individual

JEFFERY BAKER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
REG PHARMACIST

Contact information

Practice address
4913 KARINGTON PLACE CT, SAINT LOUIS, MO 63129-7106
(314) 892-2511
Mailing address
4913 KARINGTON PLACE CT, SAINT LOUIS, MO 63129-7106
(314) 892-2511

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
040004
MO

Other

Enumeration date
01/15/2009
Last updated
01/17/2009
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