Individual
MRS. DEANNA E BLOSSOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
9595 N US HIGHWAY 1, SEBASTIAN, FL 32958-6301
(772) 589-5177
Mailing address
752 S FISCHER CIR, SEBASTIAN, FL 32958-4619
(772) 589-0871
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH18625
FL
Other
Enumeration date
09/11/2011
Last updated
09/11/2011
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