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Shelly C Blake, Rph.

Pharmacist in Easton, PA. Individual provider (NPI-1).

NPI number1982987111
StatusActive
Last updated in NPPESSep 23, 2011

Details

NPI
1982987111
Entity type
Individual (NPI-1)
Name
Ms. Shelly C Blake
Credential
Rph.
Sex
Female
Sole proprietor
No
Enumeration date
Sep 23, 2011
Last updated
Sep 23, 2011

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
183500000X Pharmacistrp443562PAYes
183500000X Pharmacist28rI02889800NJ

Practice location

1955 Sullivan Trl
Easton, PA 18040-8383

Phone 610-258-7439

Mailing address

1955 Sullivan Trl
Easton, PA 18040-8383

Phone 610-258-7439

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