Individual
BONNNIE BLANKENSHIP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
5509 US-45 ALT SOUTH, WEST POINT, MS 39773
(662) 494-7267
Mailing address
317 S CHURCH ST, TUPELO, MS 38804-4703
(662) 416-0226
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
E-12637
MS
Other
Enumeration date
04/02/2021
Last updated
04/02/2021
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