Organization
BLOUNTSTOWN DRUG INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JON MARK PLUMMER R.PH. (OWNER)
(850) 674-2222
Entity
Organization
Contact information
Practice address
20370 CENTRAL AVE W, BLOUNTSTOWN, FL 32424-1945
(850) 674-2222
Mailing address
20370 CENTRAL AVE W, BLOUNTSTOWN, FL 32424-1945
(850) 674-2222
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH21495
FL
Other
Enumeration date
11/14/2006
Last updated
02/21/2008
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