Brandt L Baker Jr

NPI 1346251857 - Pharmacy - 333600000X

NPI Details
NPI 1346251857
Enumeration Date 08/10/2006
Last Updated 12/23/2015
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name LARUE LARUE
Position OWNER
Phone (601) 833-7455
Fax (601) 833-3987
Practice Location
428 HIGHWAY 51 N
BROOKHAVEN MS, 39601-2351, US
Phone (601) 833-7455
Fax (601) 833-3987
Business Location
428 HIGHWAY 51 N
BROOKHAVEN MS, 39601-2351, US
Phone (601) 833-7455
Fax (601) 833-3987
Toxanomy
Taxonomy Code 333600000X
License State
License Number
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According to our database, Brandt L Baker Jr NPI is 1346251857, taxonomy code is 333600000X Brandt L Baker Jr physically located at 428 Highway 51 N, Brookhaven MS, 39601-2351. NPI Number 1033115704 has the healthcare provider type.

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1346251857 NPI number is provided on an as is basis without warranty of any kind. 1346251857 is maintained by the National Plan & Provider Enumeration System. The contents of Brandt L Baker Jr are for informational purposes only.