Individual
MARY KRISTEN BLANKENBECLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
190 CUMBERLAND SQ, CROSSVILLE, TN 38555-4054
(931) 484-9114
Mailing address
190 CUMBERLAND SQ, CROSSVILLE, TN 38555-4054
(931) 484-9114
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
36949
TN
Other
Enumeration date
09/15/2014
Last updated
09/15/2014
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