Individual
DR. BLAKE EDWARD KNAPP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM. D.
Contact information
Practice address
225 N ELM ST, CENTRALIA, IL 62801-3248
(618) 533-5395
(618) 533-5506
Mailing address
225 N ELM ST, CENTRALIA, IL 62801-3248
(618) 533-5395
(618) 533-5506
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051.292069
IL
Other
Enumeration date
09/20/2011
Last updated
09/20/2011
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