Individual
BLAKE FITZPATRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
2200 W 15TH ST, EDMOND, OK 73013-2639
(405) 330-1089
(405) 330-1092
Mailing address
2200 W 15TH ST, EDMOND, OK 73013-2639
(405) 330-1089
(405) 330-1092
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
14793
OK
Other
Enumeration date
12/05/2018
Last updated
12/05/2018
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