Individual
JEFFREY ALAN BLASKOWSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
4351 E HIGHWAY 90, SIERRA VISTA, AZ 85635-2431
(520) 458-0997
Mailing address
4351 E HIGHWAY 90, SIERRA VISTA, AZ 85635-2431
(520) 458-0997
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
S022837
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1851333439
—
AZ
Enumeration date
10/18/2017
Last updated
10/18/2017
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