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RONALD L. BAKER R.PH.

>> Pharmacist >> Pharmacy Service Providers

Registrant NPI Number: 1396897435

Individual Registrant:
 RONALD L. BAKER R.PH.
Gender: M
Sole Proprietor

Location and contact information for practice:
757 W BROADWAY  COUNCIL BLUFFS, IA 51501-4103 US
Tel: 712-328-3277  Fax: 712-325-1469

Contact information for business:
15310 E NORTHRIDGE DR  LOUISVILLE, NE 68037-2866 US
Tel: 402-234-2767  Fax: 402-234-2767

Registration Information:
NPI: 1396897435
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y183500000XPharmacy Service Providers
Pharmacist
IA14339

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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