| NPI | 1629026109 |
|---|---|
| Doing Business As | BAKER DRUG STORE |
| Entity Type | Organization |
| Authorized Contact | ASHLEY TANNER Pharmacist 731-427-1528 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: TN 000000690) |
| Enumeration Date | 2006-05-05 |
| Last Update Date | 2008-06-17 |