Individual provider · Type 1 NPI

Gregory Spake, RPH. CPH

Pharmacist · Melbourne, FL

NPI number 1649372186 Active

Practice location

4020 N Wickham Rd
Melbourne, FL 32935-2472

Call (321) 254-7803 Map

Fax (321) 449-0585

Mailing address

PO Box 156
Cocoa, FL 32923-0156

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000XPS25626 (FL)
Pharmacist 183500000XPU5073 (FL)
Pharmacist 183500000X9383 (AZ)

Pharmacist: 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…

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About NPI 1649372186

Gregory Spake, RPH. CPH's National Provider Identifier is 1649372186, issued on Sep 4, 2006. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Melbourne, FL. The record was last updated on Jul 8, 2007.