Individual provider · NPI-1

Martha Blake, RPH

Pharmacist · Loxahatchee, FL

NPI number1356097588
StatusActive
Last updated in NPPESFeb 25, 2022

Details

NPI
1356097588
Entity type
Individual (NPI-1)
Name
Martha Blake
Credential
RPH
Sex
Female
Sole proprietor
No
Enumeration date
Feb 25, 2022
Certification date
Feb 25, 2022
Last updated
Feb 25, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
183500000X Pharmacistps27541FLYes

Practice location

17269 Orange Blvd
Loxahatchee, FL 33470-6056

Phone 561-888-2766

Mailing address

1550 Se Floresta Dr
Port St Lucie, FL 34983-4069

Phone 772-340-4142 · Fax 772-785-5753

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Pharmacist providers in Loxahatchee, FL