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Individual

CHRISTOPHER ALLEN BLACKBURN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHARMD

Contact information

Practice address
809 LAMONT ST, MOUNTAIN HOME, TN 37864
(423) 926-1171
Mailing address
1704 SCENIC DR, JOHNSON CITY, TN 37604-7255
(423) 502-1062

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
40622
TN

Other

Enumeration date
10/04/2016
Last updated
10/04/2016
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