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Organization
BLACKBURN DRUG LLC
Active
Organization
BLACKBURN DRUG LLC
Active
Other names
Blackburn Drug
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES EDWARD BLACKBURN JR. PHARMD (OWNER)
(307) 201-1159
Entity
Organization
Contact information
Practice address
545 N CACHE ST UNIT 10-S, JACKSON, WY 83001-8685
(307) 201-1159
(307) 201-1553
Mailing address
PO BOX 11540, JACKSON, WY 83002-1540
(307) 201-1159
(307) 201-1553
Taxonomy
Speciality
Code
Description
License number
State
3336C0004X
Compounding Pharmacy
Primary
—
—
Other
Enumeration date
05/31/2021
Last updated
03/07/2023
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