NPI | 1275109340 |
---|---|
Doing Business As | BLACKBURN DRUG |
Entity Type | Organization |
Authorized Contact | JAMES EDWARD BLACKBURN Owner 307-201-1159 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0004X Pharmacy, Compounding Pharmacy |
Enumeration Date | 2021-05-31 |
Last Update Date | 2023-03-07 |