DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: DR. NATHAN THOMAS BLAKE PHARM. D.

MEDICARE: DR. NATHAN THOMAS BLAKE 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
1183500000XPharmacist118039-8MN

General Provider Information

NPI Number : 1780681023
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. NATHAN THOMAS BLAKE PHARM. D.
Provider Business Mailing Address
First Line : 2021 145TH AVE NE
Second Line :
City : HAM LAKE
State : MN
Zip : 55304-6240
Country : US
Telephone Number : 612-483-6781
Fax Number :
Provider Business Practice Location Address
First Line : 2500 E LAKE ST
Second Line :
City : MINNEAPOLIS
State : MN
Zip : 55406-1909
Country : US
Telephone Number : 612-721-1611
Fax Number : 612-721-1611
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/01/2005
Last Update Date : 04/04/2011

Similar Medicare Providers

1811919582 — GRAND ST PAUL CVS LLC
Practice Location Address:
2500 E LAKE ST
MINNEAPOLIS, MN
55406-1909
Practice Phone: 612-721-1611
Practice Fax: 612-354-5260
1225204811 — ANNA C DAVENPORT PHARMD
Practice Location Address:
2500 E LAKE ST , T-0052
MINNEAPOLIS, MN
55406-1909
Practice Phone: 651-704-0322
Practice Fax:
1629347323 — MOUNIA RADOUANI RPH
Practice Location Address:
2500 E LAKE ST
MINNEAPOLIS, MN
55406-1909
Practice Phone: 612-721-1611
Practice Fax:
1922373315 — NASSIR ALI R.PH
Practice Location Address:
2500 E LAKE ST
MINNEAPOLIS, MN
55406-1909
Practice Phone: 612-721-1611
Practice Fax:
1194100214 — TARGET PHARMACY
Practice Location Address:
2500 E LAKE ST
MINNEAPOLIS, MN
55406-1909
Practice Phone: 612-721-1611
Practice Fax:
1043660301 — LUXOTTICA RETAIL NORTH AMERICA INC
Practice Location Address:
2500 E LAKE ST
MINNEAPOLIS, MN
55406-1909
Practice Phone: 612-354-5271
Practice Fax:

Directions to “ DR. NATHAN THOMAS BLAKE PHARM. D.” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.