Amy J Baumann

Individual provider Active NPI Pharmacist · Edmond, OK

NPI 1669766671 · NPPES record last updated Jun 7, 2011

Key facts

NPI
1669766671
Entity type
Individual (NPI type 1)
Primary specialty
Pharmacist 183500000X
License
12425 (OK)
Practice address
1200 E 2ND St
T-1398
Edmond, OK 73034-5317
Phone
(405) 844-5099
Fax
(405) 844-5099
NPI assigned
Jun 7, 2011
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 12425 OK Yes

Addresses

Primary practice location

1200 E 2ND St
T-1398
Edmond, OK 73034-5317

Mailing address

1200 E 2ND St
T-1398
Edmond, OK 73034-5317
Phone (405) 844-5099

Other providers in Edmond, OK

All providers in Edmond, OK · Pharmacist in Oklahoma

Sources for this page

Verify at the official NPI Registry.