Individual
BLAKE NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
3426 S UNIVERSITY RD, SPOKANE, WA 99206-1268
(509) 921-2292
(509) 343-1117
Mailing address
3426 S UNIVERSITY RD, SPOKANE VALLEY, WA 99206-5855
(509) 921-2292
(509) 343-1117
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH 00062061
WA
Other
Enumeration date
02/16/2015
Last updated
02/16/2015
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