Provider Demographics
NPI:1578212726
Name:BAKER, KAREN ANN (RPH)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:ANN
Last Name:BAKER
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:40 MARIETTA AVE
Mailing Address - Street 2:
Mailing Address - City:IOWA CITY
Mailing Address - State:IA
Mailing Address - Zip Code:52246-3200
Mailing Address - Country:US
Mailing Address - Phone:319-631-9393
Mailing Address - Fax:
Practice Address - Street 1:801 NEWTON ROAD
Practice Address - Street 2:S340 B DENTAL SCIENCE BLDG
Practice Address - City:IOWA CITY
Practice Address - State:IA
Practice Address - Zip Code:52242
Practice Address - Country:US
Practice Address - Phone:319-335-7459
Practice Address - Fax:319-335-7425
Is Sole Proprietor?:No
Enumeration Date:2022-03-23
Last Update Date:2022-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA155111835P2201X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P2201XPharmacy Service ProvidersPharmacistAmbulatory Care