Individual
MR. TIMOTHY JAMES BLANCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
3980 VENTURE DR, DULUTH, GA 30096-5077
(770) 905-8877
Mailing address
5542 ASHLEIGH WALK DR, SUWANEE, GA 30024-7690
(770) 905-8877
Taxonomy
Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
RPH024703
GA
Other
Enumeration date
10/14/2011
Last updated
10/14/2011
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