Blaylock, Jared Andrew
Blaylock, Jared Andrew is an individual health care provider with primary practice located at 1 W Edwardsville Rd , Wood River IL 62095-1261. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Blaylock, Jared Andrew can be contacted via phone (618) 254-3610.Contact Information
Primary practice address
1 W Edwardsville Rd
Wood River IL 62095-1261
Phone: (618) 254-3610
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Pharmacy Service Providers / Pharmacist | 183500000X | 051303330 | Illinois |
Pharmacy Service Providers / Pharmacist | 183500000X | 2020023097 | Missouri |
Profile Details
NPI number | 1770187783 |
---|---|
LBN Legal business name | Blaylock, Jared Andrew |
Credentials | PHARMD |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Nov 30th, 2020 |
Last updated | Feb 17th, 2022 - about 2 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.
Popular Providers
-
Bartels, Katie Lynn
18 W Edwardsville Rd , Wood River IL 62095-1214 -
Pruett, Stephanie
1 W Edwardsville Rd , Wood River IL 62095-1261 -
Germann, Rachel
610 Wesley Dr , Wood River IL 62095-1894 -
Mayden, Donald Edward
600 E Ferguson Ave , Wood River IL 62095-2146 -
Suhrenbrock, Dale
1122 Vaughn Rd , Wood River IL 62095-1848 -
Schneider, Jennifer Ann
1 W Edwardsville Rd , Wood River IL 62095-1261 -
Piper, Kristin Kaye
1122 Vaughn Rd , Wood River IL 62095-1848 -
Way, Susan Lynn
610 Wesley Dr , Wood River IL 62095-1894