Provider Demographics
NPI:1861773368
Name:BAKER, GUY (PHARMD)
Entity type:Individual
Prefix:DR
First Name:GUY
Middle Name:
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 1:23425 N SCOTTSDALE RD STE A103
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85255-3469
Mailing Address - Country:US
Mailing Address - Phone:480-656-3349
Mailing Address - Fax:480-634-7851
Practice Address - Street 1:23425 N SCOTTSDALE RD STE A103
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85255
Practice Address - Country:US
Practice Address - Phone:480-656-3349
Practice Address - Fax:480-634-7851
Is Sole Proprietor?:No
Enumeration Date:2011-08-29
Last Update Date:2018-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZS018512183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist