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MR. GEORGE FOSTER BAKER

>> Pharmacist >> Pharmacy Service Providers

Registrant NPI Number: 1114913209

Individual Registrant:
MR. GEORGE FOSTER BAKER 
Gender: M
Not Sole Proprietor

Location and contact information for practice:
7236 GLEN COVE LN  STONE MOUNTAIN, GA 30087-6374 US
Tel: 678-525-2134  Fax: 404-420-2674

Contact information for business:
7236 GLEN COVE LN  STONE MOUNTAIN, GA 30087-6374 US
Tel: 678-525-2134  Fax: 404-420-2674

Registration Information:
NPI: 1114913209
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
X183500000XPharmacy Service Providers
Pharmacist
GARPH021514
X1835P1200XPharmacy Service Providers
Pharmacist
GARPH021514
X1835P1300XPharmacy Service Providers
Pharmacist
GARPH021514

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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