Individual
KRISTY BLANKENSHIP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6381 HAMILTON ST, PRESTON, GA 31824-4029
(229) 828-2773
(229) 828-2115
Mailing address
858 CEMETERY RD, PRESTON, GA 31824-4122
(229) 389-1887
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH017563
GA
Other
Enumeration date
08/12/2021
Last updated
08/12/2021
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