Baker Pharmacy LLC

Community/Retail Pharmacy · Macclenny, FL

Organization Active NPI

NPI number 1689219917

Practice location

698 W Macclenny Ave Ste 682
Macclenny, FL 32063-2092
Phone
(904) 314-3288

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NPI record

NPI
1689219917
Entity type
Organization (Type 2)
Enumeration date
November 11, 2019
Last updated
November 11, 2019
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Community/Retail Pharmacy Primary 3336C0003X — —

Authorized official

Name
Mr. Pavankumar Banoth
Title
Owner
Phone
(904) 314-3288

About Baker Pharmacy LLC

Baker Pharmacy LLC is a healthcare organization registered in the NPI registry with the primary taxonomy Community/Retail Pharmacy (code 3336C0003X). The practice location is 698 W Macclenny Ave Ste 682, Macclenny, FL 32063-2092. The NPI number 1689219917 was assigned on November 11, 2019 and the record was last updated on November 11, 2019.

The authorized official for this organization is Mr. Pavankumar Banoth, Owner.

Frequently asked questions

What is the NPI number of Baker Pharmacy LLC?

The NPI number is 1689219917.

What is the phone number of Baker Pharmacy LLC?

The phone number listed for the practice location is (904) 314-3288.

Where is Baker Pharmacy LLC located?

698 W Macclenny Ave Ste 682, Macclenny, FL 32063-2092.

What is the taxonomy code for Baker Pharmacy LLC?

The primary taxonomy code is 3336C0003X – Community/Retail Pharmacy.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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