Kevin Blackmon

NPI #1881014595 in Cheraw, South Carolina

Provider Information

NPI Number: 1881014595
Entity Type: Individual
Name: Kevin Blackmon
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Enumeration Date: Apr 21, 2014
Last Updated: Apr 21, 2014

Practice Location

Address: 1040 CHESTERFIELD HWY
City: Cheraw
State: South Carolina
ZIP Code: 29520-7010
Phone: (843) 537-2741

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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