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Individual

BETTY W BAKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
R.PH.,MBA/MHA

Contact information

Practice address
74-5455 MAKALA BLVD, KAILUA KONA, HI 96740-2727
(808) 334-4021
Mailing address
78-7000 KEWALO ST, KAILUA KONA, HI 96740-2833
(808) 324-0234

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
38475
TX
183500000X
Pharmacist
Primary
PH-2357
HI
183500000X
Pharmacist
RPH013277
GA

Other

Enumeration date
12/29/2012
Last updated
12/29/2012
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