Provider Demographics
NPI:1194569988
Name:BOOK, BAILEY (PHARMD)
Entity type:Individual
Prefix:
First Name:BAILEY
Middle Name:
Last Name:BOOK
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 1:475 GALLUP RD
Mailing Address - Street 2:
Mailing Address - City:JONESVILLE
Mailing Address - State:LA
Mailing Address - Zip Code:71343-5777
Mailing Address - Country:US
Mailing Address - Phone:318-715-5067
Mailing Address - Fax:
Practice Address - Street 1:1158 LOGAN SEWELL DR
Practice Address - Street 2:
Practice Address - City:VIDALIA
Practice Address - State:LA
Practice Address - Zip Code:71373-3342
Practice Address - Country:US
Practice Address - Phone:318-414-2616
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-06-25
Last Update Date:2024-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA024874183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist