Joshua Blackmore

NPI #1710526223 in Blue Jay, California

Provider Information

NPI Number: 1710526223
Entity Type: Individual
Name: Joshua Blackmore
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Enumeration Date: Dec 31, 2019
Last Updated: Dec 31, 2019

Practice Location

Address: 27177 STATE HIGHWAY 189
City: Blue Jay
State: California
ZIP Code: 92317-0017
Phone: (909) 336-1275

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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