TIMOTHY JOHN BLACKFORD

DES MOINES, IA
NPI1174623110
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy183500000X Pharmacist
(Licence: IA  16211)
Enumeration Date2006-09-22
Last Update Date2007-07-08
Business Address
TIMOTHY JOHN BLACKFORD RPH
3600 30TH ST VA HOSPITAL
DES MOINES, IA 50310
Phone number: 800-294-8387
Mailing Address
TIMOTHY JOHN BLACKFORD RPH
2534 MADISON AVE
DES MOINES, IA 50310-5918
Phone number: 515-279-6307
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