Provider Demographics
NPI:1386990984
Name:BAUM, REGAN ANN (PHARMD)
Entity type:Individual
Prefix:MS
First Name:REGAN
Middle Name:ANN
Last Name:BAUM
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:UNIVERSITY OF KENTUCKY CHANDLER MEDICAL CTR
Mailing Address - Street 2:800 ROSE ST, H110
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40536-0001
Mailing Address - Country:US
Mailing Address - Phone:859-323-0390
Mailing Address - Fax:859-323-2049
Practice Address - Street 1:UNIVERSITY OF KENTUCKY CHANDLER MEDICAL CTR
Practice Address - Street 2:800 ROSE ST, H110
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40536-0001
Practice Address - Country:US
Practice Address - Phone:859-323-0390
Practice Address - Fax:859-323-2049
Is Sole Proprietor?:Yes
Enumeration Date:2012-08-01
Last Update Date:2012-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY015978183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist