Individual
JOHN BLAINE ALBERTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
1001 W BROADWAY, COLUMBIA, MO 65203-2121
(573) 777-7301
(573) 777-7335
Mailing address
1001 W BROADWAY, COLUMBIA, MO 65203-2121
(573) 777-7301
(573) 777-7335
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
028516
MO
Other
Enumeration date
10/30/2007
Last updated
10/30/2007
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