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NPI Code Detail

MEDICARE: DR. ANTHONY BLAKE FIELDS PHARM D

MEDICARE:  DR. ANTHONY BLAKE FIELDS  PHARM D
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacist0202206562VA

General Provider Information

NPI Number : 1417221664
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ANTHONY BLAKE FIELDS PHARM D
Provider Business Mailing Address
First Line : 5015 MAIN ST
Second Line :
City : STEPHENS CITY
State : VA
Zip : 22655-3003
Country : US
Telephone Number : 540-869-1660
Fax Number : 540-869-1463
Provider Business Practice Location Address
First Line : 5015 MAIN ST
Second Line :
City : STEPHENS CITY
State : VA
Zip : 22655-3003
Country : US
Telephone Number : 540-869-1660
Fax Number : 540-869-1463
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/06/2012
Last Update Date : 03/06/2012

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Directions to “ DR. ANTHONY BLAKE FIELDS PHARM D” Practice Location

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