Individual
DAVID BLOSSOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
299 N BINKLEY ST, SOLDOTNA, AK 99669-7523
(907) 262-3800
Mailing address
22525 JULIE DR, KASILOF, AK 99610
(907) 398-7137
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
2282
AK
Other
Enumeration date
01/20/2015
Last updated
01/20/2015
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