Organization
BLAKE PHARMACY , INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KATHLEEN D HILL R.PH. (MANAGER)
(937) 549-3773
Entity
Organization
Contact information
Practice address
35 E SECOND ST, MANCHESTER, OH 45144-1301
(937) 549-3773
(937) 549-3714
Mailing address
35 E SECOND ST, MANCHESTER, OH 45144-1301
(937) 549-3773
(937) 549-3714
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
02-0481050
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0642871
—
OH
Enumeration date
10/03/2006
Last updated
08/29/2008
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