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Individual

MEISHA LYNNE BLACKWELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHARMD

Contact information

Practice address
771 AIRPORT BLVD, ANN ARBOR, MI 48108-1639
(734) 213-8011
Mailing address
3276 ELGIN DR, SALT LAKE CITY, UT 84109-2208
(801) 907-8153

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
333206-1701
UT
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
5302042176
MI

Other

Enumeration date
03/10/2012
Last updated
06/19/2023
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