Individual
MR. BRIAN PAUL BLAINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMACIST
Contact information
Practice address
12955 COLLIER BLVD, NAPLES, FL 34116-4001
(239) 687-3340
(239) 304-1812
Mailing address
12955 COLLIER BLVD, NAPLES, FL 34116-4001
(239) 687-3340
(239) 304-1812
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
033.0002112
VT
183500000X
Pharmacist
Primary
PS29070
FL
Other
Enumeration date
12/16/2011
Last updated
12/16/2011
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