Individual
BLAKE KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
3000 NEW BERN AVE, RALEIGH, NC 27610-1231
(919) 350-6320
(919) 350-6320
Mailing address
2404 STAFFORD AVE, RALEIGH, NC 27607-7241
(919) 418-8898
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
20577
NC
Other
Enumeration date
12/21/2017
Last updated
12/21/2017
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