A Dale Blossom, RPH

NPI #1396045886 in Grants Pass, Oregon

Provider Information

NPI Number
1396045886
Entity Type
Individual
Name
A Dale Blossom, RPH
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Pharmacist
Credential
RPH
Enumeration Date
Oct 29, 2010
Last Updated
Oct 29, 2010

Practice Location

Address
115 SE 7TH ST
State
Oregon
ZIP Code
97526-3051
Phone
(541) 956-7546

Specialties & Taxonomy Codes

Specialty
Pharmacist

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