Ebony Blue

NPI #1629415815 in Dublin, Georgia

Provider Information

NPI Number
1629415815
Entity Type
Individual
Name
Ebony Blue
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Pharmacist
Enumeration Date
May 28, 2013
Last Updated
May 28, 2013

Practice Location

Address
1100 HILLCREST PKWY
City
Dublin
State
Georgia
ZIP Code
31021-4366
Phone
(478) 277-3085

Specialties & Taxonomy Codes

Specialty
Pharmacist

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