Individual
BLAKE WHITMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1500 E 3RD ST, CHARLOTTE, NC 28204-3232
(704) 526-4651
Mailing address
1500 E 3RD ST, CHARLOTTE, NC 28204-3232
(704) 526-4651
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
13149
SC
183500000X
Pharmacist
Primary
21113
NC
Other
Enumeration date
02/24/2016
Last updated
02/24/2016
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