DAVID BLOSSOM

SOLDOTNA, AK
NPI1457740037
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy183500000X Pharmacist
(Licence: AK  2282)
Enumeration Date2015-01-20
Last Update Date2015-01-20
Business Address
-- DAVID BLOSSOM PharmD
299 N BINKLEY ST
SOLDOTNA, AK 99669-7523
Phone number: 907-262-3800
Mailing Address
-- DAVID BLOSSOM PharmD
22525 JULIE DR
KASILOF, AK 99610
Phone number: 907-398-7137