Individual
CHRISTINE DANA BLALOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9080 MARBACH RD, SAN ANTONIO, TX 78245-1810
(210) 673-3082
Mailing address
9080 MARBACH RD, SAN ANTONIO, TX 78245-1810
(210) 673-3082
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
49160
TX
Other
Enumeration date
12/15/2011
Last updated
12/15/2011
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