Kody Lane Blankenship

NPI #1417467770 in Centerville, Ohio

Provider Information

NPI Number
1417467770
Entity Type
Individual
Name
Kody Lane Blankenship
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Pharmacist
Enumeration Date
Oct 1, 2017
Last Updated
Oct 1, 2017

Practice Location

Address
898 S MAIN ST
State
Ohio
ZIP Code
45458-3439
Phone
(937) 433-4909

Specialties & Taxonomy Codes

Specialty
Pharmacist

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