| NPI | 1659513638 |
|---|---|
| Doing Business As | BLAKE PHARMACY |
| Entity Type | Organization |
| Authorized Contact | STEVEN S REED VP/Secretary 502-394-2100 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: FL PH23998) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2009-04-06 |
| Last Update Date | 2023-06-30 |