Organization
BLACKBURNS PHARMACY LLC
Active
Other names
BLACKBURNS PHARMACY LLC
Organization subpart
No
Provider details
NPI number
Authorized official
ROGER FLAUTT RPH (PIC,AO)
(740) 456-4500
Entity
Organization
Contact information
Practice address
3520 RHODES AVE, NEW BOSTON, OH 45662-4975
(740) 456-4500
(740) 456-4544
Mailing address
3520 RHODES AVE, NEW BOSTON, OH 45662-4975
(740) 456-4500
(740) 456-4544
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
021761650
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2081085
PK
—
05
—
2784527
—
OH
Enumeration date
09/19/2007
Last updated
09/10/2015
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