Blakely Pharmacy LLC

NPI #1629132113 in Blakely, Georgia

Provider Information

NPI Number: 1629132113
Entity Type: Organization
Organization Name: Blakely Pharmacy LLC
Primary Specialty: Pharmacy
Enumeration Date: Dec 20, 2006
Last Updated: Dec 7, 2016

Practice Location

Address: 90 COURT SQ
City: Blakely
State: Georgia
ZIP Code: 39823-2340
Phone: (229) 723-3441

Authorized Official

Name: LEIGH BRUNER
Title: PIC
Phone: (229) 723-3441

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacy	333600000X	Primary

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