Blackmon, Kisha Monique
Blackmon, Kisha Monique is an sole proprietor health care provider with primary practice located at 5730 Woodcrest Ave , Philadelphia PA 19131-2225. She recently has only one registered license in Pharmacy Service Providers / Pharmacy Technician, which is considered as her primary health care specialty. Blackmon, Kisha Monique can be contacted via phone (267) 644-9244.Contact Information
Primary practice address
5730 Woodcrest Ave
Philadelphia PA 19131-2225
Phone: (267) 644-9244
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Pharmacy Service Providers / Pharmacy Technician | 183700000X | 30028491 | Pennsylvania |
Profile Details
| NPI number | 1285126862 |
|---|---|
| LBN Legal business name | Blackmon, Kisha Monique |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 31st, 2018 |
| Last updated | May 31st, 2018 - about 6 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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