| NPI | 1417143843 |
|---|---|
| Doing Business As | BLACKBURNS PHARMACY LLC |
| Entity Type | Organization |
| Authorized Contact | ROGER FLAUTT PIC,AO 740-456-4500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: OH 021761650) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2007-09-19 |
| Last Update Date | 2015-09-10 |