John Ellsworth Baldwin, RPH

NPI #1033495080 in Lake Geneva, Wisconsin

Provider Information

NPI Number: 1033495080
Entity Type: Individual
Name: John Ellsworth Baldwin, RPH
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Credential: RPH
Enumeration Date: Oct 21, 2011
Last Updated: Oct 21, 2011

Practice Location

Address: 351 N EDWARDS BLVD
City: Lake Geneva
State: Wisconsin
ZIP Code: 53147-4563
Phone: (262) 248-7885

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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