Individual
DR. SANDRA BLAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
2222 N NEVADA AVE, COLORADO SPRINGS, CO 80907-6819
(719) 776-4036
Mailing address
2222 N NEVADA AVE, COLORADO SPRINGS, CO 80907-6819
(719) 776-4036
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
39222
TX
183500000X
Pharmacist
Primary
PHA.00176
CO
Other
Enumeration date
08/23/2018
Last updated
08/23/2018
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