MARK LEE BLANTON

BIG STONE GAP, VA
NPI1053901272
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy3336C0003X Pharmacy, Community/Retail Pharmacy
(Licence: VA  0202010024)
Enumeration Date2021-01-21
Last Update Date2021-01-21
Business Address
MARK LEE BLANTON
310 CLOVERLEAF SQ STE A1
BIG STONE GAP, VA 24219-3074
Phone number: 276-523-2100
Mailing Address
MARK LEE BLANTON
310 CLOVERLEAF SQ STE A1
BIG STONE GAP, VA 24219-3074
Phone number: 276-523-2100
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