| NPI | 1811000144 |
|---|---|
| Doing Business As | BLAKE PHARMACY |
| Entity Type | Organization |
| Authorized Contact | DUSTIN CAMPBELL Pharmacist/Mgr 937-587-3100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: OH 022368600) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2006-08-17 |
| Last Update Date | 2017-02-20 |