David Loren Baker III, PharmD
Pharmacist in Melbourne, FL. Individual provider (NPI-1).
NPI number1629645593
StatusActive
Last updated in NPPESJun 8, 2021
Details
- NPI
- 1629645593
- Entity type
- Individual (NPI-1)
- Name
- David Loren Baker III
- Credential
- PharmD
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jun 8, 2021
- Certification date
- Jun 8, 2021
- Last updated
- Jun 8, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 183500000X | Pharmacist | PS53416 | FL | Yes |
Practice location
711 Bonnie CirMelbourne, FL 32901-4123
Phone 321-604-9150
Mailing address
711 Bonnie CirMelbourne, FL 32901-4123
Phone 321-604-9150
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