| NPI | 1063135572 |
|---|---|
| Doing Business As | BLAKE PHARMACY |
| Entity Type | Organization |
| Authorized Contact | STEVEN S REED VP/Secretary 502-394-2100 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336S0011X Pharmacy, Specialty Pharmacy |
| Enumeration Date | 2022-09-20 |
| Last Update Date | 2023-06-30 |