Individual
DR. PHILIP JOSEPH BLAINE
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
620 JOHN PAUL JONES CIR, SUITE 1400, PORTSMOUTH, VA 23708-2111
(757) 953-7718
(757) 953-0477
Mailing address
613 IVANHOE CT, CHESAPEAKE, VA 23322-8865
(757) 410-5100
(757) 953-0477
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
1-11487
KS
Other
Enumeration date
01/12/2006
Last updated
07/08/2007
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