| NPI | 1558318766 |
|---|---|
| Doing Business As | BLAKESLY DRUG |
| Entity Type | Organization |
| Authorized Contact | ASHLEY BREHME Dr. 563-927-3509 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: IA 1592) |
| Additional Taxonomies | 333600000X Pharmacy |
| 3336L0003X Pharmacy, Long Term Care Pharmacy | |
| Enumeration Date | 2006-05-31 |
| Last Update Date | 2018-06-11 |