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Individual

DR. MATTHEW BLACKBURN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PHARMD, BCCCP, BCPS

Contact information

Practice address
1000 S LIMESTONE, LEXINGTON, KY 40506-0007
(859) 323-2300
Mailing address
3069 OLD FIELD WAY, LEXINGTON, KY 40513-1724
(502) 750-3338

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
016489
KY

Other

Enumeration date
07/09/2013
Last updated
04/10/2020
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