Provider Demographics
NPI:1891133997
Name:BAIRD, DANIELLE MARIE (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:DANIELLE
Middle Name:MARIE
Last Name:BAIRD
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 1:11105 200TH ST NE
Mailing Address - Street 2:
Mailing Address - City:THIEF RIVER FALLS
Mailing Address - State:MN
Mailing Address - Zip Code:56701-8554
Mailing Address - Country:US
Mailing Address - Phone:218-416-0613
Mailing Address - Fax:
Practice Address - Street 1:215 PENNINGTON AVE
Practice Address - Street 2:
Practice Address - City:THIEF RIVER FALLS
Practice Address - State:MN
Practice Address - Zip Code:56701-2900
Practice Address - Country:US
Practice Address - Phone:218-681-1515
Practice Address - Fax:218-681-1561
Is Sole Proprietor?:No
Enumeration Date:2013-06-11
Last Update Date:2020-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NDRPH5630183500000X
MN120628183500000X, 183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist