Individual
BLAKE HERSCHBERGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2765 NW 49TH AVE UNIT 301, OCALA, FL 34482-6215
(352) 401-3606
Mailing address
2765 NW 49TH AVE UNIT 301, OCALA, FL 34482-6215
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PS61520
FL
Other
Enumeration date
09/04/2020
Last updated
09/04/2020
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