Provider Demographics
NPI:1457609455
Name:BLAKE, BRITTANY ANN (PHARMD)
Entity type:Individual
Prefix:DR
First Name:BRITTANY
Middle Name:ANN
Last Name:BLAKE
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:MISS
Other - First Name:BRITTANY
Other - Middle Name:ANN
Other - Last Name:WINFREY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1832 BUXTON WAY
Mailing Address - Street 2:
Mailing Address - City:BURLINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:27215-9435
Mailing Address - Country:US
Mailing Address - Phone:336-391-9433
Mailing Address - Fax:
Practice Address - Street 1:1131 N CHURCH ST STE D
Practice Address - Street 2:
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27401-1016
Practice Address - Country:US
Practice Address - Phone:336-832-6279
Practice Address - Fax:336-832-6270
Is Sole Proprietor?:No
Enumeration Date:2012-08-22
Last Update Date:2024-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC22482183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist