Most Relevant Information
Provider Data
| NPI Number: | 1003222308 |
| Provider Name: | JESSICA BAKER |
| Entity Type: | Individual |
| Taxonomy Code: | 183500000X |
| Specialty: | Pharmacist |
| License Number: | 26027595A |
Most Important Dates
| Enumeration Date: | 07/08/2014 |
| Last Updated: | 10/13/2020 |
Provider Practice Location
1260 E STATE ROAD 205
COLUMBIA CITY
IN
467251697
Practice Location Phone/Fax
| Phone: | 2602489000 |
| Fax: |
Provider Mailing Location
3375 KENSINGTON CT
HUNTINGTON
IN
467500032
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |