Provider Demographics
NPI:1225215833
Name:BAUGHER, MONTE RAY (RPH)
Entity Type:Individual
Prefix:MR
First Name:MONTE
Middle Name:RAY
Last Name:BAUGHER
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5510 HOWARD STREET
Mailing Address - Street 2:RPH ON THE GO
Mailing Address - City:SKOKIE
Mailing Address - State:IL
Mailing Address - Zip Code:60077-2620
Mailing Address - Country:US
Mailing Address - Phone:800-553-7359
Mailing Address - Fax:847-779-6169
Practice Address - Street 1:5510 HOWARD ST
Practice Address - Street 2:
Practice Address - City:SKOKIE
Practice Address - State:IL
Practice Address - Zip Code:60077-2620
Practice Address - Country:US
Practice Address - Phone:800-553-7359
Practice Address - Fax:847-779-6169
Is Sole Proprietor?:No
Enumeration Date:2008-01-25
Last Update Date:2008-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA12883183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist