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Organization

BLANE MANAGEMENT LLC

Active
Other names
DBA Dover Family Pharmacy
Organization subpart
No

Provider details

NPI number
Authorized official
MR. MARLIN LYNN BLANE PHARM D (OWNER)
(931) 232-0123
Entity
Organization

Contact information

Practice address
1307 DONELSON PKWY, DOVER, TN 37058-3724
(931) 232-0123
(931) 232-1185
Mailing address
1307 DONELSON PKWY, DOVER, TN 37058-3724
(931) 232-0123
(931) 232-1185

Taxonomy

Speciality
Code
Description
License number
State
333600000X
Pharmacy
3336C0003X
Community/Retail Pharmacy
Primary
4231
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
4438772
NCPDP PROVIDER IDENTIFICATION NUMBER
05
Q036928
TN
Enumeration date
06/22/2006
Last updated
08/09/2023
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