NPI 1003323965

Ian Bakewell

Practitioner Pharmacist Owatonna, MN

Practice location

Address: 1620 S Cedar Ave, Owatonna, MN 55060-3922
Phone: (507) 451-0179
Mailing address: 2425 Cornell Dr, Faribault, MN 55021-3431

Registered specialties

Pharmacist Primary

Pharmacy Service Providers Taxonomy 183500000X Licence 122797 (MN)

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Registry record

NPI: 1003323965
Entity type: Individual
Sex (as registered): Male
NPI issued: 1 Jan 2018
Record last updated: 1 Jan 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.