DR. Roosevelt Alonzo Blye JR., PHARM.D
NPI #1780974238 in Long Beach, Mississippi
Provider Information
- NPI Number
- 1780974238
- Entity Type
- Individual
- Name
- DR. Roosevelt Alonzo Blye JR., PHARM.D
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Pharmacist
- Credential
- PHARM.D
- Enumeration Date
- Apr 18, 2011
- Last Updated
- Apr 18, 2011
Practice Location
- Address
- 200 WEST RAILROAD STREET SUITE B
- Address 2
- RITE AID
- City
- Long Beach
- State
- Mississippi
- ZIP Code
- 39560-2269
- Phone
- (228) 864-0334
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacist |
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