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Individual

DR. ROBERT G BLAIKLOCK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
R.PH, PH.D,

Contact information

Practice address
130 W KINGSBRIDGE RD, PHARMACY (119), BRONX, NY 10468-3904
(718) 584-9000
(718) 741-4406
Mailing address
28 GARDEN PL, APT 161, EDGEWATER, NJ 07020-7235
(201) 941-3467

Taxonomy

Speciality
Code
Description
License number
State
1835P1200X
Pharmacotherapy Pharmacist
Primary
28RI02263200
NJ

Other

Enumeration date
09/20/2006
Last updated
07/08/2007
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