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Blakely Pharmacy LLC

Pharmacy in Blakely, GA · enumerated 2006 · authorized official Leigh Bruner, Pic.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1629132113

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Registry record

Entity type Organization (Type 2)
Legal business name Blakely Pharmacy LLC
Other name <Unavail>
Practice address 90 Court Sq, Blakely, GA, 39823
Fax (229) 723-8707
Enumeration date Dec 20, 2006
Last updated in NPPES Dec 7, 2016

Taxonomy & classification

333600000X Pharmacy Suppliers · License PHRE010001 (GA) Primary

Authorized official

Name Leigh Bruner
Title Pic

Other identifiers

Identifier Type State Issuer
2146842 Other - PK
000028784A Medicaid GA -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2016-12-07. Verify at npiregistry.cms.hhs.gov.
Where is Blakely Pharmacy LLC located?
The practice location on file with NPPES is in Blakely, GA.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2016-12-07.