National Provider Identifier

Stephen Llewellyn Blakeslee

Stephen Llewellyn Blakeslee is listed in the NPPES registry with a primary specialty of Pharmacist in Bath, NY and a listed phone number of (607) 664-4000.

NPI 1972684819Bath, NYPharmacist

Profile Overview

NPI
1972684819
Provider Type
Individual
Primary Specialty
Pharmacist
Enumeration Date
October 18, 2006
Last Updated
July 08, 2007

Practice Location

  • 76 Veterans Ave
  • Bath, NY 14810-0810

Phone: (607) 664-4000

Mailing Address

  • 371 S Division St
  • Hornell, NY 14843-2135

Specialties

  • Pharmacist (183500000X)
Full Record
NPI
1972684819
Entity Type
Individual
Last Name
Blakeslee
First Name
Stephen
Middle Name
Llewellyn
Provider Other Last Name
Blakeslee
Provider Other First Name
Stephen
Provider Other Middle Name
Llewellyn
Provider Other Credential Text
RPH
Provider Other Last Name Type Code
2
Mailing Street Address
371 S Division St
Mailing City
Hornell
Mailing State
NY
Mailing ZIP Code
14843-2135
Mailing Country
US
Mailing Phone
(607) 324-5442
Practice Street Address
76 Veterans Ave
Practice City
Bath
Practice State
NY
Practice ZIP Code
14810-0810
Practice Country
US
Practice Phone
(607) 664-4000
Enumeration Date
October 18, 2006
Last Updated
July 08, 2007
Sex
Male
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Pharmacist (183500000X)