Provider Demographics
NPI:1235127317
Name:BAKER, DANIAL EDWIN (PHARMD, RPH)
Entity Type:Individual
Prefix:DR
First Name:DANIAL
Middle Name:EDWIN
Last Name:BAKER
Suffix:
Gender:M
Credentials:PHARMD, RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6715 S MORAN VIEW ST
Mailing Address - Street 2:
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99224-8494
Mailing Address - Country:US
Mailing Address - Phone:509-358-7660
Mailing Address - Fax:509-358-7744
Practice Address - Street 1:6715 S MORAN VIEW ST
Practice Address - Street 2:
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99224-8494
Practice Address - Country:US
Practice Address - Phone:509-358-7660
Practice Address - Fax:509-358-7744
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-10-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPH00010489183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist