Brandt Larue Baker, RPH Valid NPI

Individual provider · Pharmacist · Brookhaven, MS

NPI

1306930839

Type

Individual (Type 1)

Primary specialty

Pharmacist

Specialty group

Pharmacy Service Providers

Taxonomy code

183500000X

License number

E-07180 (MS)

Sex

Male

Sole proprietor

Yes

Enumerated

2006-10-02

Last updated

2007-07-08