Organization
GENE BLOUNT
Active
Organization
GENE BLOUNT
Active
Other names
BLOUNT PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
GENE BLOUNT RPH (OWNER)
(936) 269-3922
Entity
Organization
Contact information
Practice address
13290 HWY 84 E, JOAQUIN, TX 75954-0506
(936) 269-3922
(936) 269-9809
Mailing address
PO BOX 506, JOAQUIN, TX 75954-0506
(936) 269-3922
(936) 269-9809
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
4873
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1274321
—
LA
05
—
141708
—
TX
01
—
2097960
PK
—
Enumeration date
09/06/2006
Last updated
01/08/2016
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