NATHAN THOMAS BLAKE

MINNEAPOLIS, MN
NPI1780681023
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy183500000X Pharmacist
(Licence: MN  118039-8)
Enumeration Date2005-07-01
Last Update Date2011-04-04
Business Address
Dr. NATHAN THOMAS BLAKE Pharm. D.
2500 E LAKE ST
MINNEAPOLIS, MN 55406-1909
Phone number: 612-721-1611
Mailing Address
Dr. NATHAN THOMAS BLAKE Pharm. D.
2021 145TH AVE NE
HAM LAKE, MN 55304-6240
Phone number: 612-483-6781