DR. James Edward Blackburn JR.

NPI #1710230230 in Jackson, Wyoming

Provider Information

NPI Number: 1710230230
Entity Type: Individual
Name: DR. James Edward Blackburn JR.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Enumeration Date: Oct 22, 2012
Last Updated: Feb 16, 2021

Practice Location

Address: 150 SCOTT LN SPC A
City: Jackson
State: Wyoming
ZIP Code: 83001-8467
Phone: (307) 201-1159

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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