Doctor Name: | MR. RICK M BAKER |
NPI Number: | 1063400992 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PHARMD |
License Number: | 10507 |
Business Practice Address: | 1102 E Centennial Dr Pittsburg, KS - 667626643 |
Business Phone Number: | 6202320144 |
Business Fax Number: | 6202353590 |
Mailing Address: | 1103 E 8th St, Apt B PITTSBURG |
State: | KS |
Postal Code: | 667624415 |
Phone Number: | 6202318729 |
Fax Number: | |
NPI Enumeration Date: | 10/13/2005 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1835N1003X |
License Number: | 10507 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | KS |
Taxonomy Type: | Pharmacy Service Providers |
Taxonomy Classification: | Pharmacist |
Taxonomy Specialization: | Nutrition Support |
Taxonomy Definition: | A licensed pharmacist who has demonstrated specialized knowledge and skill in maintenance and/or restoration of optimal nutritional status, designing and modifying treatment according to patient needs. |