Healthcare Provider Details

I. General information

NPI: 1427976554
Provider Name (Legal Business Name): HANNAH BLAKE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/07/2026
Last Update Date: 07/07/2026
Certification Date: 07/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4961 ROBERTS RD
HILLIARD OH
43026-8129
US

IV. Provider business mailing address

210 LANTERN LN
PLAIN CITY OH
43064-2126
US

V. Phone/Fax

Practice location:
  • Phone: 614-850-2407
  • Fax:
Mailing address:
  • Phone: 614-800-2872
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number03445450
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: