Individual
D BLAKE DANIEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
622 S 8TH ST, GRIFFIN, GA 30224-4214
(770) 227-7045
(770) 227-8756
Mailing address
622 S 8TH ST, GRIFFIN, GA 30224-4214
(770) 227-7045
(770) 227-8756
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
016831
GA
1835P1200X
Pharmacotherapy Pharmacist
016831
GA
Other
Enumeration date
06/23/2010
Last updated
11/24/2014
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