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Deryck Blake, RPH
Pharmacist in Lithonia, Georgia
NPI 1568067114

Deryck Blake is a Pharmacist based in Decatur, GA. Deryck Blake practices in Lithonia, GA and has the professional credentials of RPH. The NPI Number for Deryck Blake is 1568067114 and holds a License No. RPH016053 (Georgia).

The current practice location address for Deryck Blake is 5401 Fairington Rd, Lithonia, GA and can be reached out via phone at 770-593-4998.

Location: 5401 Fairington Rd, Lithonia, GA, 30033-4104
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1568067114
Provider Name
Deryck Blake
Credential
RPH
Provider Entity Type
Individual
Gender
Male
Address
5401 Fairington Rd, Lithonia, GA, 30033-4104
Phone Number
770-593-4998
Fax Number
Provider Enumeration Date
12/02/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
5401 Fairington Rd
City
Lithonia
State
Georgia
Zip
30038-5113
Phone Number
770-593-4998
Fax Number
person
Provider Business Mailing Address Details
Address
5401 Fairington Rd
City
Lithonia
State
Georgia
Zip
30038-5113
Phone Number
770-593-4998
Fax Number
person
Provider's Taxonomy Details 1
Type
Pharmacy Service Providers
Classification
Pharmacist
Speciality
-
Taxonomy
183500000X
License No.
RPH016053 (Georgia)
Definition
An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.
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