DR. Jared Andrew Blaylock, PHARMD

NPI #1770187783 in Wood River, Illinois

Provider Information

NPI Number: 1770187783
Entity Type: Individual
Name: DR. Jared Andrew Blaylock, PHARMD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Credential: PHARMD
Enumeration Date: Nov 30, 2020
Last Updated: Feb 17, 2022

Practice Location

Address: 1 W EDWARDSVILLE RD
City: Wood River
State: Illinois
ZIP Code: 62095-1261
Phone: (618) 254-3610

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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