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Contact Information

PHILLIP BLAKE, PHARM.D.
4301 WILSON ST
FORT SILL, OK73503-4472
 Phone: 580-558-2300
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pharmacist

183500000X
Indicates primary specialty

NPI Profile & details for PHILLIP BLAKE · (Male)

NPI Number 1942952924
Status Active
Credentials PHARM.D. (Doctor of Pharmacy)
Entity Individual
Enumeration date 01/21/2022
Last updated 01/21/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • TX License # 42642
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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