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Individual
GARY BLACKBURN
Active
Individual
GARY BLACKBURN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD, RPH
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
P6220
ID
183500000X
Pharmacist
PH 00062359
WA
183500000X
Pharmacist
Primary
RPH-0010717
OR
Other
Enumeration date
12/13/2014
Last updated
12/13/2014
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