Individual
DR. BRANDON LEE BLACKBURN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
904 N MAIN ST, HIGH POINT, NC 27262-3924
(336) 887-1036
Mailing address
612 CLARK AVE, GREENSBORO, NC 27406-6606
(336) 681-4602
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
33366
NC
Other
Enumeration date
08/12/2024
Last updated
08/12/2024
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