Individual
MS. LEIGH V BLAYLOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPH RPH
Contact information
Practice address
842 UNION ST, MCGEES PRESCRIPTION SHOP, SHELBYVILLE, TN 37160
(931) 684-7936
Mailing address
111 ST ANDREWS PLACE, TULLAHOMA, TN 37388
(931) 455-8098
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
23970
TN
Other
Enumeration date
10/19/2006
Last updated
07/08/2007
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