Individual
BRITNEY DODSON BLACKWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
830 S GLOSTER ST, TUPELO, MS 38801-4996
(662) 377-4583
Mailing address
366 COUNTY ROAD 373, TUPELO, MS 38801-9051
(662) 645-9808
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
E-12536
MS
Other
Enumeration date
10/14/2019
Last updated
10/14/2019
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