Russell Marion Blaylock in Clovis - Pharmacist
Russell Marion Blaylock - NPI 1477584704
Russell Marion Blaylock is a Pharmacist in Clovis, California. Russell Marion Blaylock practices all healthcare services and medical treatments related to Pharmacist. The NPI Number for Russell Marion Blaylock is 1477584704. The last update date is 2007-07-08.
Russell Marion Blaylock's current location address is 751 Cromwell Ave, Clovis, California. You can contact this provider via phone number 5596817876. The mailing address for Russell Marion Blaylock is 751 Cromwell Ave, Clovis, California. To know further, please read the information below!
Provider Profile Detail
Provider Name | Russell Marion Blaylock |
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Address | 751 Cromwell Ave, Clovis, California |
Phone Number | 5596817876 |
Fax Number | |
Sole Proprietor | N |
Credentials | PHARMD |
NPI Number Detail
NPI Number | 1477584704 |
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Provider Enumeration Date | 2006-07-05 |
Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
Address | 751 Cromwell Ave |
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City | Clovis |
State | California (CA) |
Post Code | 936117027 |
Phone Number | 5596817876 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Pharmacist |
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Taxonomy | 183500000X |
Licence No | 12607-040 |
Definition: An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or m |
Post Comment/ Review Below
What is the unique identifier code issued to Russell Marion Blaylock by the Centers for Medicare & Medicaid Services (CMS)?
The Russell Marion Blaylock has been assigned the NPI (National Provider Identifier) 1477584704. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please share the complete physical address where Russell Marion Blaylock is geographically located?
The Russell Marion Blaylock is physically situated at the following location: 751 Cromwell Ave, Clovis, CA, 936117027.
What is Russell Marion Blaylock's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Russell Marion Blaylock is Pharmacist, and the taxonomy classification code that categorizes this area of expertise is 183500000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1477584704 to Russell Marion Blaylock?
The Centers for Medicare & Medicaid Services originally issued the 1477584704 to Russell Marion Blaylock on 2006-07-05.
As of what date were the details pertaining to Russell Marion Blaylock last refreshed?
The information related to the Russell Marion Blaylock, including its address, specialty, and other relevant details, was last updated on 2007-07-08.
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