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1285946335
CHARLES LOUIS BLAZEK
JOHNSON CITY, TN
NPI
1285946335
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: TN 0000033123)
Enumeration Date
2010-07-06
Last Update Date
2010-07-06
Business Address
-- CHARLES LOUIS BLAZEK Pharm.D.
2240 N ROAN ST
JOHNSON CITY, TN 37601-2521
Phone number: 423-283-4942
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Mailing Address
-- CHARLES LOUIS BLAZEK Pharm.D.
134 AVONLEA PL
JOHNSON CITY, TN 37604-1708
Phone number: 804-898-1505
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