DR. Stacey Rene Blackmon, PHARMD
NPI #1932957941 in Cookeville, Tennessee
Provider Information
- NPI Number
- 1932957941
- Entity Type
- Individual
- Name
- DR. Stacey Rene Blackmon, PHARMD
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Pharmacy - Community/Retail Pharmacy
- Credential
- PHARMD
- Enumeration Date
- May 7, 2024
- Last Updated
- May 7, 2024
Practice Location
- Address
- 606 W MAIN ST STE A
- City
- Cookeville
- State
- Tennessee
- ZIP Code
- 38506-5395
- Phone
- (931) 537-6337
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy |
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