Individual
MRS. BARBARA BLACKMORE HEADING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BS PHARMACY
Contact information
Practice address
2384 PASS RD, BILOXI, MS 39531-2236
(228) 388-4015
Mailing address
2540 S SHORE DR, BILOXI, MS 39532-3010
(228) 388-8453
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
T07945
MS
Other
Enumeration date
09/29/2006
Last updated
07/08/2007
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