LARRY BLANK

CATHEDRAL CITY, CA
NPI1609153998
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy183500000X Pharmacist
(Licence: CA  21818)
Enumeration Date2011-11-15
Last Update Date2011-11-15
Business Address
-- LARRY BLANK pharmacist
30015 DATE PALM DR
CATHEDRAL CITY, CA 92234-2822
Phone number: 760-770-3659
Mailing Address
-- LARRY BLANK pharmacist
30015 DATE PALM DR
CATHEDRAL CITY, CA 92234-2822
Phone number: 760-770-3659