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Individual

DR. CORY A BLACKSMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHARMD

Contact information

Practice address
3551 ROGER BROOKE DR, SAN ANTONIO, TX 78234-4504
(314) 435-1617
Mailing address
18639 CANOE BRK, SAN ANTONIO, TX 78258-1640

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
52592
TX

Other

Enumeration date
05/16/2017
Last updated
05/16/2017
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