Individual
MARK JAMES BLOSSER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMACIST
Contact information
Practice address
132 E BROADWAY BLVD, JEFFERSON CITY, TN 37760-2535
(865) 471-0548
(865) 471-5103
Mailing address
3505 FERRY RD., KNOXVILLE, TN 37920
(865) 609-4074
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0000027206
TN
183500000X
Pharmacist
03323815
OH
Other
Enumeration date
07/08/2010
Last updated
07/08/2010
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