Individual
BRETT COLLIN BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
814 W BROADWAY ST, ARDMORE, OK 73401-4527
(580) 223-7636
(580) 223-0320
Mailing address
814 W BROADWAY ST, ARDMORE, OK 73401-4527
(580) 223-7636
(580) 223-0320
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
17696
OK
Other
Enumeration date
05/24/2023
Last updated
05/24/2023
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