Organization
BLAKE PHARMACY INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT PAUL APPLEGATE RPH (PHARMACIST/MGR.)
(937) 587-3100
Entity
Organization
Contact information
Practice address
103 N MAIN ST, PEEBLES, OH 45660-1246
(937) 587-3100
(937) 587-5045
Mailing address
103 N MAIN ST, PEEBLES, OH 45660-1246
(937) 587-3100
(937) 587-5045
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
—
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0315297
—
OH
01
—
3634208
NABP
—
Enumeration date
09/30/2005
Last updated
08/22/2020
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