Individual
BLAKE ROCHE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
68 MAIN ST, WHITMIRE, SC 29178-1399
(803) 694-2445
(803) 694-2013
Mailing address
PO BOX 277, WHITMIRE, SC 29178-0277
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
41995
SC
Other
Enumeration date
06/20/2019
Last updated
06/20/2019
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