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Individual

MR. EDWARD BAKO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
R.PH.

Contact information

Practice address
4501 BUSINESS PARK BLVD, BUILDING L, SUITE 24, ANCHORAGE, AK 99503-7119
(907) 334-2654
(907) 561-1684
Mailing address
4501 BUSINESS PARK BLVD, BUILDING L, SUITE 24, ANCHORAGE, AK 99503-7119
(907) 334-2654
(907) 561-1684

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
03-1-20810
OH
183500000X
Pharmacist
Primary
1514
AK

Other

Enumeration date
10/24/2007
Last updated
10/24/2007
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