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Individual

ERIC SHAWN YOUNGBLOOD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PHARM D

Contact information

Practice address
2197 W DIMOND BLVD, ANCHORAGE, AK 99515-1457
(907) 339-9600
(907) 339-9985
Mailing address
2197 W DIMOND BLVD, ANCHORAGE, AK 99515-1457
(907) 339-9600
(907) 339-9985

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
1860
AK

Other

Enumeration date
12/23/2009
Last updated
12/23/2009
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