Individual
MR. BLAKE RICE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
142 MAIN STREET, RIDDLE, OR 97467
(541) 874-2406
(541) 874-3256
Mailing address
PO BOX 826, RIDDLE, OR 97469-0826
(541) 874-2406
(541) 874-3256
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH0006533
OR
Other
Enumeration date
07/12/2006
Last updated
05/28/2008
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