Individual
MR. CLINT EDWARD BLANTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
468 TRADE CENTER LN, JONESVILLE, VA 24263-7463
(276) 346-2872
(276) 346-2874
Mailing address
468 TRADE CENTER LN, JONESVILLE, VA 24263-7463
(276) 346-2872
(276) 346-2874
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202011355
VA
Other
Enumeration date
08/28/2019
Last updated
08/28/2019
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