Individual
ROBERT GALEN BLANKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.PH.
Contact information
Practice address
429 DELAWARE ST, LEAVENWORTH, KS 66048-2732
(913) 682-1602
(913) 682-4220
Mailing address
24903 WOLCOTT RD, LEAVENWORTH, KS 66048-7234
(913) 727-6118
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
9017
KS
Other
Enumeration date
11/01/2006
Last updated
07/08/2007
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