Individual
MR. GREGORY JOHN BLACKBURN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
2100 PREAKNESS PASS, LAS VEGAS, NV 89117-5946
(702) 256-2173
Mailing address
2100 PREAKNESS PASS, LAS VEGAS, NV 89117-5946
(702) 256-2173
Taxonomy
Speciality
Code
Description
License number
State
1835P1200X
Pharmacotherapy Pharmacist
Primary
NV11281
NV
Other
Enumeration date
05/16/2006
Last updated
07/08/2007
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