Baker Pharmacy LLC

NPI #1689219917 in Macclenny, Florida

Provider Information

NPI Number
1689219917
Entity Type
Organization
Organization Name
Baker Pharmacy LLC
Primary Specialty
Pharmacy - Community/Retail Pharmacy
Enumeration Date
Nov 11, 2019
Last Updated
Nov 11, 2019

Practice Location

Address
698 W MACCLENNY AVE STE 682
State
Florida
ZIP Code
32063-2092
Phone
(904) 314-3288

Authorized Official

Name
MR. PAVANKUMAR BANOTH
Title
OWNER
Phone
(904) 314-3288

Specialties & Taxonomy Codes

Specialty
Pharmacy - Community/Retail PharmacyCommunity/Retail Pharmacy

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Provider Name
Baker County Medical Services, INC

Part of Baker County Medical Services INC

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