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Individual

MR. HERBERT CONLEY BLANKENSHIP

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
BS PHARMACY

Contact information

Practice address
HC 63 BOX 612, PANTHER, WV 24872-9703
(304) 938-3014
(304) 583-2899
Mailing address
HC 63 BOX 612, PANTHER, WV 24872-9703
(304) 938-3014
(304) 583-2899

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
0202012757
VA
183500000X
Pharmacist
Primary
5945
WV

Other

Enumeration date
11/01/2006
Last updated
07/08/2007
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