Individual
MR. DARYL MADISON BLACKBURN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
RPH, MBA
Contact information
Practice address
3643 N ROXBORO ST, DURHAM, NC 27704-2702
(919) 470-8148
(919) 470-7365
Mailing address
3643 N ROXBORO ST, DURHAM, NC 27704-2702
(919) 470-8148
(919) 470-7365
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
6333
NC
Other
Enumeration date
10/04/2005
Last updated
07/08/2007
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