Provider Demographics
NPI:1376849182
Name:BAKER, CECILIA L (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:CECILIA
Middle Name:L
Last Name:BAKER
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15916 CRAIN HWY
Mailing Address - Street 2:
Mailing Address - City:BRANDYWINE
Mailing Address - State:MD
Mailing Address - Zip Code:20613-8000
Mailing Address - Country:US
Mailing Address - Phone:301-242-9264
Mailing Address - Fax:301-242-9265
Practice Address - Street 1:15916 CRAIN HWY
Practice Address - Street 2:
Practice Address - City:BRANDYWINE
Practice Address - State:MD
Practice Address - Zip Code:20613-8000
Practice Address - Country:US
Practice Address - Phone:301-242-9264
Practice Address - Fax:301-242-9265
Is Sole Proprietor?:No
Enumeration Date:2011-01-27
Last Update Date:2011-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD17230183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist