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Individual

MR. JIMMY DOUGLAS BLANKENSHIP

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHARMD, PHD

Contact information

Practice address
1210 KY HWY 36E, ATTN: PHARMACY, CYNTHIANA, KY 41031
(859) 234-2300
(859) 235-3604
Mailing address
1210 KY HWY 36E, ATTN: PHARMACY, CYNTHIANA, KY 41031
(859) 234-2300
(859) 235-3604

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
014994
KY

Other

Enumeration date
11/24/2020
Last updated
11/24/2020
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