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Individual

MICHELLE BLALOCK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHARMD

Contact information

Practice address
3871 PEACHTREE RD NE, BROOKHAVEN, GA 30319-3300
(404) 240-2812
(404) 240-2814
Mailing address
3159 QUINN PL, CHAMBLEE, GA 30341-4116

Taxonomy

Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
RPH0022684
GA

Other

Enumeration date
02/22/2020
Last updated
02/22/2020
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