Individual
BLAKE FRUTCHEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
1027 16TH ST N, JACKSONVILLE BEACH, FL 32250-2877
(904) 487-0069
Mailing address
1027 16TH ST N, JACKSONVILLE BEACH, FL 32250-2877
(904) 487-0069
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
43984
FL
Other
Enumeration date
09/28/2016
Last updated
09/28/2016
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