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Individual

MR. CHARLES DAVID BLAKSMITH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
R.PH.

Contact information

Practice address
2756 AVERY RD, SAINT JOHNS, MI 48879-9047
(989) 224-6146
Mailing address
2756 AVERY RD, SAINT JOHNS, MI 48879-9047
(989) 224-6146

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302021569
MI

Other

Enumeration date
10/16/2006
Last updated
07/08/2007
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