Provider Demographics
NPI:1386169902
Name:BAKER, CAROLINE HONG (PHARMD)
Entity type:Individual
Prefix:
First Name:CAROLINE
Middle Name:HONG
Last Name:BAKER
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:CARLY
Other - Middle Name:
Other - Last Name:HONG
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:10712 SE CARR RD
Mailing Address - Street 2:
Mailing Address - City:RENTON
Mailing Address - State:WA
Mailing Address - Zip Code:98055-5826
Mailing Address - Country:US
Mailing Address - Phone:425-277-1040
Mailing Address - Fax:425-277-7935
Practice Address - Street 1:10712 SE CARR RD
Practice Address - Street 2:
Practice Address - City:RENTON
Practice Address - State:WA
Practice Address - Zip Code:98055-5826
Practice Address - Country:US
Practice Address - Phone:425-277-1040
Practice Address - Fax:425-277-7935
Is Sole Proprietor?:Yes
Enumeration Date:2017-08-04
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORRPH-0013336183500000X
WAPH60570288183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist