Terry Lynn Blasingame

NPI #1609329010 in Lake Arrowhead, California

Provider Information

NPI Number: 1609329010
Entity Type: Individual
Name: Terry Lynn Blasingame
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Enumeration Date: Aug 2, 2016
Last Updated: Aug 2, 2016

Practice Location

Address: 28200 HIGHWAY 189 # N150
City: Lake Arrowhead
State: California
ZIP Code: 92352-9700
Phone: (909) 336-3999

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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