Individual
BLAKE BACHANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
2960 TONGASS AVE, KETCHIKAN, AK 99901-5742
(907) 228-9205
Mailing address
2960 TONGASS AVE, KETCHIKAN, AK 99901-5742
(907) 228-9205
Taxonomy
Speciality
Code
Description
License number
State
1835P2201X
Ambulatory Care Pharmacist
Primary
181612
AK
Other
Enumeration date
07/26/2024
Last updated
07/26/2024
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