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1366120339
ANDREW KENNETH BAKER
BOISE, ID
NPI
1366120339
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: ID P10737)
Enumeration Date
2023-07-10
Last Update Date
2023-07-10
Business Address
ANDREW KENNETH BAKER PharmD
190 E BANNOCK ST
BOISE, ID 83712-6241
Phone number: 208-381-2222
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Mailing Address
ANDREW KENNETH BAKER PharmD
1439 N PINEVIEW LN
BOISE, ID 83713-7915
Phone number: 208-329-0550
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