Individual
DR. CASEY LEE BLACKMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
3050 BURTON COVE RD, COOKEVILLE, TN 38506-6184
(931) 319-6606
Mailing address
3050 BURTON COVE RD, COOKEVILLE, TN 38506-6184
(931) 319-6606
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26382
TN
Other
Enumeration date
02/21/2021
Last updated
02/21/2021
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