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Individual

REGINA K BLEVINS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHARM-D, RPH

Contact information

Practice address
107 H STREET E, POPLAR, MT 59255
(406) 768-3491
(406) 768-3299
Mailing address
107 H STREET E, POPLAR, MT 59255
(406) 768-3491
(406) 768-3299

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5926
MT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
5926
PHARMACIST
MT
Enumeration date
04/17/2008
Last updated
04/17/2008
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