Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Nathan Thomas Blake, PHARMD

Individual provider Pharmacist · NPI 1780681023

Dr. Nathan Thomas Blake, PHARMD is a Pharmacist in Minneapolis, Minnesota. Practices as a sole proprietor. Licensed in Minnesota.

Licensed in
MN
In the registry since
2005
What do these letters mean?
PHARMD — Doctor of Pharmacy
The professional degree required to practise as a pharmacist in the United States.

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Practice location Address checks out

2500 E Lake St
Minneapolis, MN 55406-1909
Phone: (612) 721-1611
Fax: (612) 721-1611
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 118039-8 (MN)

Record details

NPI number1780681023
Entity typeIndividual (Type 1)
GenderMale
Credentials PHARMD
Sole proprietorYes
NPI enumeratedJuly 1, 2005
Last updated in NPPESApril 4, 2011
Mailing address2021 145th Ave Ne, Ham Lake, MN 55304-6240

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