Individual
MR. ALLAN DREW BLOCKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH.
Contact information
Practice address
167 NORTH MAIN STREET, TUBA CITY, AZ 86045
(928) 283-2754
Mailing address
PO BOX 3112, TUBA CITY, AZ 86045-3112
(205) 563-2641
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
9564
AL
Other
Enumeration date
05/14/2007
Last updated
07/08/2007
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