Provider Demographics
NPI:1487235867
Name:BAKER, ANNMARIE ELIZABETH (PHARMD)
Entity type:Individual
Prefix:
First Name:ANNMARIE
Middle Name:ELIZABETH
Last Name:BAKER
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 1:1224 N 35TH ST
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23223-7706
Mailing Address - Country:US
Mailing Address - Phone:267-229-8915
Mailing Address - Fax:
Practice Address - Street 1:5221 BROOK RD
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23227-2901
Practice Address - Country:US
Practice Address - Phone:804-266-7120
Practice Address - Fax:804-266-7019
Is Sole Proprietor?:Yes
Enumeration Date:2021-04-18
Last Update Date:2021-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0203019140183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist