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NPI 1962748533 · live from the CMS NPI Registry

Betty W Baker, R.Ph.,MBA/MHA

Pharmacist in Kailua Kona, HI. National Provider Identifier 1962748533, active.

NPI record

NPI1962748533 Type 1 · individual
StatusActive
Primary specialtyPharmacist 183500000X
Practice location74-5455 Makala Blvd, Kailua Kona, HI 96740
Practice phone808-334-4021
Mailing address78-7000 Kewalo St, Kailua Kona, HI 96740
EnumeratedDecember 29, 2012
Last updatedDecember 29, 2012
Sole proprietorNo

Taxonomies and licenses

TaxonomyCodeLicense
Pharmacist primary183500000XPH-2357 (HI)
Pharmacist183500000XRPH013277 (GA)
Pharmacist183500000X38475 (TX)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.