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Individual

MR. BENJAMIN PRESTON BLANKINCHIP

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
RPH

Contact information

Practice address
4739 SAINT STEPHENS RD, PRICHARD, AL 36613-3512
(251) 457-6666
(251) 330-3206
Mailing address
12230 LOTT RD, CHUNCHULA, AL 36521-3350
(251) 866-0224

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
7624
AL

Other

Enumeration date
08/18/2010
Last updated
08/18/2010
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