NPI 1033759741

Blake Burns

Practitioner Pharmacist Rogers, AR

Practice location

Address: 17 W Wimbledon Way, Rogers, AR 72758-1409
Phone: (501) 554-4695
Fax: (844) 205-3530

Registered specialties

Pharmacist Primary

Pharmacy Service Providers Taxonomy 183500000X Licence PD11287 (AR)

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Registry record

NPI: 1033759741
Entity type: Individual
Sex (as registered): Female
NPI issued: 10 Jan 2020
Record last updated: 17 Jan 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.