| NPI | 1063063444 |
|---|---|
| Doing Business As | BAKER DRUG STORE LONG TERM CARE |
| Entity Type | Organization |
| Authorized Contact | JAMES HENDRICKSON Owner 501-327-6476 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy |
| Enumeration Date | 2019-09-26 |
| Last Update Date | 2019-11-01 |