Blakely, Thomas J

Blakely, Thomas J is an individual health care provider with primary practice located at 2240 Winrow Ave Usa Meddac, Rwbahc, Fort Huachuca AZ 85613. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Blakely, Thomas J can be contacted via phone (520) 533-2520.

Contact Information

Primary practice address
2240 Winrow Ave Usa Meddac, Rwbahc Fort Huachuca AZ 85613
Phone: (520) 533-2520
Fax: (520) 533-0464
Website:
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Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 9196 Arizona

Profile Details

NPI number 1164504148
LBN Legal business name Blakely, Thomas J
Credentials RPH/DPH
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 19th, 2006
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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