Provider Demographics
NPI:1386076040
Name:BAKER, BRITTANY LEE (PHARM D)
Entity type:Individual
Prefix:DR
First Name:BRITTANY
Middle Name:LEE
Last Name:BAKER
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2320 SELMA ST SW
Mailing Address - Street 2:
Mailing Address - City:DECATUR
Mailing Address - State:AL
Mailing Address - Zip Code:35603-2918
Mailing Address - Country:US
Mailing Address - Phone:256-303-1146
Mailing Address - Fax:
Practice Address - Street 1:1718 BELTLINE RD SW
Practice Address - Street 2:
Practice Address - City:DECATUR
Practice Address - State:AL
Practice Address - Zip Code:35601-5510
Practice Address - Country:US
Practice Address - Phone:256-584-6626
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-08-05
Last Update Date:2013-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL17431183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist