Provider Demographics
NPI:1407442288
Name:BALDWIN, SCOTT M (PHARM D)
Entity Type:Individual
Prefix:
First Name:SCOTT
Middle Name:M
Last Name:BALDWIN
Suffix:
Gender:M
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:219 N BALTIMORE AVE
Mailing Address - Street 2:
Mailing Address - City:MOUNT HOLLY SPRINGS
Mailing Address - State:PA
Mailing Address - Zip Code:17065-1204
Mailing Address - Country:US
Mailing Address - Phone:717-486-8606
Mailing Address - Fax:717-486-4410
Practice Address - Street 1:219 N BALTIMORE AVE
Practice Address - Street 2:
Practice Address - City:MOUNT HOLLY SPRINGS
Practice Address - State:PA
Practice Address - Zip Code:17065-1204
Practice Address - Country:US
Practice Address - Phone:717-486-8606
Practice Address - Fax:717-486-4410
Is Sole Proprietor?:No
Enumeration Date:2020-12-16
Last Update Date:2020-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP439867183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist