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1174623110
TIMOTHY JOHN BLACKFORD
DES MOINES, IA
NPI
1174623110
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: IA 16211)
Enumeration Date
2006-09-22
Last Update Date
2007-07-08
Business Address
-- TIMOTHY JOHN BLACKFORD RPh
3600 30TH ST VA HOSPITAL
DES MOINES, IA 50310
Phone number: 800-294-8387
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Mailing Address
-- TIMOTHY JOHN BLACKFORD RPh
2534 MADISON AVE
DES MOINES, IA 50310-5918
Phone number: 515-279-6307
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