Mark Lee Blanton
NPI #1053901272 in Big Stone Gap, Virginia
Provider Information
- NPI Number
- 1053901272
- Entity Type
- Individual
- Name
- Mark Lee Blanton
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Pharmacy - Community/Retail Pharmacy
- Enumeration Date
- Jan 21, 2021
- Last Updated
- Jan 21, 2021
Practice Location
- Address
- 310 CLOVERLEAF SQ STE A1
- City
- Big Stone Gap
- State
- Virginia
- ZIP Code
- 24219-3074
- Phone
- (276) 523-2100
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy |
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