Individual
JACK BLITZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
101 W EHRINGHAUS ST, ELIZABETH CITY, NC 27909-4921
(252) 338-3933
(252) 338-1760
Mailing address
101 WEST EHRINGHAUS ST., ELIZABETH CITY, NC 27909
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
8492
NC
Other
Enumeration date
09/14/2012
Last updated
09/14/2012
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