Provider Demographics
NPI:1326925397
Name:BAKER, LEE HARRISON (PHARMD)
Entity type:Individual
Prefix:DR
First Name:LEE
Middle Name:HARRISON
Last Name:BAKER
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1309 FREEMONT ST S APT 103A
Mailing Address - Street 2:
Mailing Address - City:GULFPORT
Mailing Address - State:FL
Mailing Address - Zip Code:33707-3350
Mailing Address - Country:US
Mailing Address - Phone:561-209-4383
Mailing Address - Fax:
Practice Address - Street 1:1600 66TH ST N
Practice Address - Street 2:
Practice Address - City:ST PETERSBURG
Practice Address - State:FL
Practice Address - Zip Code:33710-5535
Practice Address - Country:US
Practice Address - Phone:727-344-1286
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-20
Last Update Date:2025-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS69386183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist