Doctor Name: | MR. WILLIAM THOMAS BAER |
NPI Number: | 1952447112 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | R.PH. CGP |
License Number: | 14716 |
Business Practice Address: | 1200 N 7th St Chariton, IA - 500491210 |
Business Phone Number: | 6417743212 |
Business Fax Number: | |
Mailing Address: | 23308 510th Ln, CHARITON |
State: | IA |
Postal Code: | 500498016 |
Phone Number: | 6417742656 |
Fax Number: | |
NPI Enumeration Date: | 01/29/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1835G0303X |
License Number: | 14716 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IA |
Taxonomy Type: | Pharmacy Service Providers |
Taxonomy Classification: | Pharmacist |
Taxonomy Specialization: | Geriatric |
Taxonomy Definition: | A pharmacist who is certified in geriatric pharmacy practice is designated as a |