Individual
MARY KATHRYN BLACKBURN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM.D
Contact information
Practice address
211 SAINT FRANCIS DRIVE, SUITE 01512, CAPE GIRARDEAU, MO 63703
(855) 213-0007
(855) 213-0052
Mailing address
211 SAINT FRANCIS DRIVE, SUITE 01512, CAPE GIRARDEAU, MO 63703
(855) 213-0007
(855) 213-0052
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
2005033290
MO
Other
Enumeration date
05/17/2024
Last updated
05/17/2024
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