Individual
MR. BENJAMIN JOSEPH BLAKELY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
565 MONROE AVE, ROCHESTER, NY 14607-3117
(585) 244-1711
Mailing address
14 VICK PARK A, ROCHESTER, NY 14607-2120
(585) 880-0361
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
055717
NY
Other
Enumeration date
09/14/2011
Last updated
09/14/2011
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