Blaylock, Russell Marion

Blaylock, Russell Marion is an individual health care provider with primary practice located at 751 Cromwell Avenue , Clovis CA 93611. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Blaylock, Russell Marion can be contacted via phone (559) 681-7876.

Contact Information

Primary practice address
751 Cromwell Avenue Clovis CA 93611
Phone: (559) 681-7876
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 12607-040 Wisconsin

Profile Details

NPI number 1477584704
LBN Legal business name Blaylock, Russell Marion
Credentials PHARMD
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 5th, 2006
Last updated Jul 8th, 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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