Individual
MRS. MELISSA J BLACKBURN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
3120 PIMLICO PKWY, PARK HILLS SHOPPING CENTER, LEXINGTON, KY 40517-4034
(869) 273-7963
Mailing address
320 CUTTERS HILL CT, LEXINGTON, KY 40509-9426
(859) 263-9506
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
008997
KY
Other
Enumeration date
04/09/2011
Last updated
04/09/2011
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