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Individual

COURTNEY BLACKWELL ISOM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHARM.D.

Contact information

Practice address
201 E WENDOVER AVE, GREENSBORO, NC 27401-1205
(336) 832-3631
(336) 832-3632
Mailing address
201 E WENDOVER AVE, GREENSBORO, NC 27401-1205
(336) 832-3631
(336) 832-3632

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
20244
NC
183500000X
Pharmacist
RPH024324
GA
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
0070-00329
NC

Other

Enumeration date
07/11/2008
Last updated
08/22/2014
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