Individual
ELBERT BLACKBURN III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
2104 N MAIN ST, LONDON, KY 40741-1026
(606) 878-7344
Mailing address
43 BRIAR LN, LONDON, KY 40741-9285
(606) 434-4837
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
010229
KY
Other
Enumeration date
08/19/2024
Last updated
08/19/2024
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