| NPI | 1255794350 |
|---|---|
| Other Name | BLANDING PHARMACY |
| Entity Type | Organization |
| Authorized Contact | PATRICK JAMES WILLIAMS Owner/Manager 904-777-2223 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: FL PH25156) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: FL PH25156) |
| 3336C0004X Pharmacy, Compounding Pharmacy (Licence: FL PH25156) | |
| Enumeration Date | 2016-04-05 |
| Last Update Date | 2016-04-05 |