Individual
DR. BLAKE ANTHONY SCHUMACHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
5001 N TEN MILE RD, MERIDIAN, ID 83646-6515
(208) 982-3047
Mailing address
7602 AMBERVIEW CT, LEWISTON, ID 83501-7864
(208) 503-0224
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
P9042
ID
Other
Enumeration date
09/29/2020
Last updated
09/29/2020
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