Blake Pharmacy

LBN: Blake Pharmacy
Blake Pharmacy is an health care organization with primary practice located at 103 N Main St , Peebles OH 45660-1246. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Blake Pharmacy can be contacted via phone (937) 587-3100, or through Campbell, Dustin via phone (937) 587-3100.

Contact Information

Primary practice address
103 N Main St Peebles OH 45660-1246
Phone: (937) 587-3100
Fax: (937) 587-5045
Website:
Map and Directions
Authorized official contact:
Name: Campbell, Dustin
Phone: (937) 587-3100

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 022368600 Ohio

Profile Details

NPI number 1811000144
LBN Legal business name Blake Pharmacy
DBA Doing business as Blake Pharmacy
Authorized official Campbell, Dustin
Entity Organization
Organization subpart 1 No
Enumeration date Aug 17th, 2006
Last updated Feb 20th, 2017 - about 9 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1811000144 NPPES
Other 2143874 PK
MEDICAID 0315297 PK

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