National Provider Identifier Database

BLAKE PHARMACY
Community/Retail Pharmacy

A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.


Contact Information

BLAKE PHARMACY
103 N MAIN ST
PEEBLES, OH45660-1246
Phone: 937-587-3100
Fax: 937-587-5045
Website:
Specialty Taxonomy Code
* Community/Retail Pharmacy 3336C0003X
Pharmacy 333600000X

* Indicates primary specialty

NPI Profile & details for BLAKE PHARMACY

NPI Number 1811000144
Legal business name
LBN
BLAKE PHARMACY
Authorized official DUSTIN CAMPBELL - (PHARMACIST/MGR)
Entity Organization
Organization subpart No
Enumeration date 08/17/2006
Last updated 02/20/2017 - About 9 years ago
Sole proprietor1 Not specified
Identifiers
  • OH License #: 022368600
  • OH Medicaid: 0315297
  • Other: 2143874 PK

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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