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Contact Information

THOMAS J BLAKELY, RPH/DPH
2240 WINROW AVE
USA MEDDAC, RWBAHC
FORT HUACHUCA, AZ85613
 Phone: 520-533-2520
 Fax: 520-533-0464
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pharmacist

183500000X
Indicates primary specialty

NPI Profile & details for THOMAS J BLAKELY · (Male)

NPI # 1164504148
Status Active
Credentials RPH/DPH
Entity Individual
Enumeration date 10/19/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • AZ License # 9196
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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