Blackmon, Gary M

Blackmon, Gary M is an individual health care provider with primary practice located at 1025 Se Port St Lucie Blvd , Port St Lucie FL 34952-5386. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Blackmon, Gary M can be contacted via phone (772) 335-4200.

Contact Information

Primary practice address
1025 Se Port St Lucie Blvd Port St Lucie FL 34952-5386
Phone: (772) 335-4200
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X PS0020470 Florida

Profile Details

NPI number 1053591057
LBN Legal business name Blackmon, Gary M
Credentials R.PH.
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 7th, 2007
Last updated Nov 7th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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