Blake, Conrad James
Blake, Conrad James is an individual health care provider with primary practice located at 3515 Airway Dr Suite 210, Reno NV 89511-1849. He recently has only one registered license in Pharmacy Service Providers / Pharmacotherapy, which is considered as his primary health care specialty. Blake, Conrad James can be contacted via phone (775) 851-7788.Contact Information
Primary practice address
3515 Airway Dr Suite 210
Reno NV 89511-1849
Phone: (775) 851-7788
Fax: (775) 851-7788
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Pharmacy Service Providers / Pharmacotherapy | 1835P1200X | NV16076 | Nevada |
Profile Details
NPI number | 1497741144 |
---|---|
LBN Legal business name | Blake, Conrad James |
Credentials | PHARMD |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Sep 27th, 2005 |
Last updated | Aug 2nd, 2007 - about 18 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1497741144 | NPPES |
Nevada | Other | NV16076 | NV BOARD OF PHARMACY LIC |
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