TIMOTHY JAMES BLANCK

DULUTH, GA
NPI1609151240
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1835P0018X Pharmacist Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
(Licence: GA  RPH024703)
Enumeration Date2011-10-14
Last Update Date2011-10-14
Business Address
MR. TIMOTHY JAMES BLANCK PHARMD
3980 VENTURE DR
DULUTH, GA 30096-5077
Phone number: 770-905-8877
Mailing Address
MR. TIMOTHY JAMES BLANCK PHARMD
5542 ASHLEIGH WALK DR
SUWANEE, GA 30024-7690
Phone number: 770-905-8877
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