MR. Charles David Blaksmith, R.PH.

NPI #1104906957 in Saint Johns, Michigan

Provider Information

NPI Number: 1104906957
Entity Type: Individual
Name: MR. Charles David Blaksmith, R.PH.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Credential: R.PH.
Enumeration Date: Oct 16, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 2756 AVERY RD
City: Saint Johns
State: Michigan
ZIP Code: 48879-9047
Phone: (989) 224-6146

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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