Individual
DR. JANE A BLACKWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
414 N WALNUT ST, FAIRMONT, NC 28340-2038
(910) 628-6068
(910) 628-9059
Mailing address
3555 OLD US HIGHWAY 74, CHADBOURN, NC 28431-7035
(910) 654-3350
(910) 628-9059
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
17335
NC
Other
Enumeration date
04/15/2010
Last updated
04/15/2010
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