Doctor Name: | DR. ANDREW CHRISTIAN BAYLESS |
NPI Number: | 1902160625 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PHARMD |
License Number: | 7009029-1701 |
Business Practice Address: | East Hwy 262 Montezuma Creek Clinic Montezuma Creek, UT - 84534 |
Business Phone Number: | 4356513291 |
Business Fax Number: | 4356513189 |
Mailing Address: | Po Box 130 East Hwy 262, MONTEZUMA CREEK |
State: | UT |
Postal Code: | 84534 |
Phone Number: | 4356513291 |
Fax Number: | 4356513189 |
NPI Enumeration Date: | 06/27/2012 |
NPI Last Update Date: | 06/27/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1835P0018X |
License Number: | 7009029-1701 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | UT |
Taxonomy Type: | Pharmacy Service Providers |
Taxonomy Classification: | Pharmacist |
Taxonomy Specialization: | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
Taxonomy Definition: | Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management. |