Blackburn Drug LLC

NPI #1275109340 in Jackson, Wyoming

Provider Information

NPI Number
1275109340
Entity Type
Organization
Organization Name
Blackburn Drug LLC
Primary Specialty
Pharmacy - Compounding Pharmacy
Enumeration Date
May 31, 2021
Last Updated
Mar 7, 2023

Practice Location

Address
545 N CACHE ST UNIT 10-S
State
Wyoming
ZIP Code
83001-8685
Phone
(307) 201-1159

Authorized Official

Name
DR. JAMES EDWARD BLACKBURN JR., PHARMD
Title
OWNER
Phone
(307) 201-1159

Specialties & Taxonomy Codes

Specialty
Pharmacy - Compounding PharmacyCompounding Pharmacy

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