Gary M Blackmon in Port St Lucie - Pharmacist
Gary M Blackmon - NPI 1053591057
Gary M Blackmon is a Pharmacist in Port St Lucie, Florida. Gary M Blackmon practices all healthcare services and medical treatments related to Pharmacist. The NPI Number for Gary M Blackmon is 1053591057. The last update date is 2007-11-07.
Gary M Blackmon's current location address is 961 Se Thornhill Dr, Port St Lucie, Florida. You can contact this provider via phone number 7728794186. The mailing address for Gary M Blackmon is 961 Se Thornhill Dr, Port St Lucie, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Gary M Blackmon |
|---|---|
| Address | 961 Se Thornhill Dr, Port St Lucie, Florida |
| Phone Number | 7728794186 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | R.PH. |
NPI Number Detail
| NPI Number | 1053591057 |
|---|---|
| Provider Enumeration Date | 2007-11-07 |
| Last Updated Date | 2007-11-07 |
Provider Mailing Address Detail
| Address | 961 Se Thornhill Dr |
|---|---|
| City | Port St Lucie |
| State | Florida (FL) |
| Post Code | 349834057 |
| Phone Number | 7728794186 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Pharmacist |
|---|---|
| Taxonomy | 183500000X |
| Licence No | PS0020470 |
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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 |
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Post Comment/ Review Below
What is the Gary M Blackmon's unique identification number?
The Gary M Blackmon has been assigned the NPI (National Provider Identifier) Number 1053591057 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Where is the Gary M Blackmon located?
The Gary M Blackmon is located at 961 Se Thornhill Dr, Port St Lucie, FL 349834057.
What is the area of specialization for Gary M Blackmon, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Gary M Blackmon is Pharmacist, and the corresponding taxonomy code that categorizes this area of expertise is 183500000X.
On what date did the Gary M Blackmon receive the assignment of its 1053591057 from the Centers for Medicare & Medicaid Services?
The Gary M Blackmon was issued its 1053591057 by the Centers for Medicare & Medicaid Services on 2007-11-07.
As of what date were the details related to Gary M Blackmon most recently updated or revised?
The information pertaining to Gary M Blackmon, including its address, specialty, and other relevant details, was last updated or revised on 2007-11-07.