Individual
DR. BLAKE MERRICK TRAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
4815 N ASSEMBLY ST, SPOKANE, WA 99205-6185
(425) 495-2490
Mailing address
PO BOX 384, NINE MILE FALLS, WA 99026-0384
(425) 495-2490
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
7171175
ID
183500000X
Pharmacist
Primary
PH70007545
WA
Other
Enumeration date
11/13/2024
Last updated
01/11/2026
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