James L. Youngblood Beltline Family Pharmacy

NPI #1528183902 in Alton, Illinois

Provider Information

NPI Number: 1528183902
Entity Type: Organization
Organization Name: James L. Youngblood Beltline Family Pharmacy
Primary Specialty: Pharmacy
Enumeration Date: Mar 21, 2007
Last Updated: Nov 17, 2010

Practice Location

Address: 2711 CORNER CT
City: Alton
State: Illinois
ZIP Code: 62002-5328
Phone: (618) 462-0052

Authorized Official

Name: JAMES L YOUNGBLOOD
Title: OWNER
Phone: (618) 462-0052

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacy	333600000X	Primary

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