Individual
SHELBY BLALOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
55 PARK ST, NEW HAVEN, CT 06511-5474
(270) 227-1701
Mailing address
55 PARK ST, NEW HAVEN, CT 06511-5474
Taxonomy
Speciality
Code
Description
License number
State
1835P0200X
Pediatric Pharmacist
Primary
PCT.0014711
CT
Other
Enumeration date
05/26/2019
Last updated
05/26/2019
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