| NPI | 1598279341 |
|---|---|
| Doing Business As | BLAKE PHARMACY |
| Entity Type | Organization |
| Authorized Contact | ALLISON L. BROWN Secretary 502-630-7429 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy |
| Additional Taxonomies | 3336S0011X Pharmacy, Specialty Pharmacy (Licence: FL PH28969) |
| Enumeration Date | 2017-11-30 |
| Last Update Date | 2024-08-01 |