MR. Glen Russel Blackford, RPH

NPI #1417537994 in Bucyrus, Ohio

Provider Information

NPI Number: 1417537994
Entity Type: Individual
Name: MR. Glen Russel Blackford, RPH
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Credential: RPH
Enumeration Date: Apr 9, 2021
Last Updated: Apr 9, 2021

Practice Location

Address: 345 N SANDUSKY AVE
City: Bucyrus
State: Ohio
ZIP Code: 44820-1806
Phone: (419) 562-4222

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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