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Organization

BLOUNT'S MUTUAL DRUGS, INC.

Active
Parent organization
BLOUNT'S MUTUAL DRUGS, INC.
Organization subpart
Yes

Provider details

NPI number
Legal business name
BLOUNT'S MUTUAL DRUGS, INC.
Authorized official
MR. JAMES GORDON BLOUNT SR. RPH (PHARMACIST MANAGER)
(252) 482-2127
Entity
Organization

Contact information

Practice address
323 S BROAD ST, EDENTON, NC 27932-1933
(252) 482-2127
(252) 482-5218
Mailing address
323 S BROAD ST, PO BOX 209, EDENTON, NC 27932-1933
(252) 482-2127
(252) 482-5218

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
01464
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7336390
NC
Enumeration date
12/16/2010
Last updated
12/16/2010
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