Individual
BLAKE C. MISHLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
2444 SETTLERS TRCE, CLARKSVILLE, TN 37043-1523
(303) 320-9415
Mailing address
2444 SETTLERS TRCE, CLARKSVILLE, TN 37043-1523
(303) 320-9415
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
13671-1
KS
Other
Enumeration date
11/18/2011
Last updated
11/18/2011
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