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Individual

DR. ELIZABETH W. BLAKE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHARMD

Contact information

Practice address
715 SUMTER ST, ROOM 314A, COLUMBIA, SC 29208-0001
(803) 777-6058
(803) 777-1943
Mailing address
156 PRESQUE ISLE RD, LEXINGTON, SC 29072-7746
(803) 808-7227

Taxonomy

Speciality
Code
Description
License number
State
1835P1200X
Pharmacotherapy Pharmacist
Primary
10123
SC

Other

Enumeration date
10/20/2005
Last updated
07/08/2007
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