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ANN BLANCKE

>> Pharmacist >> Pharmacy Service Providers

Registrant NPI Number: 1285024166

Individual Registrant:
 ANN  BLANCKE 
Gender: F
Sole Proprietor

Location and contact information for practice:
16251 MAIN ST  GUERNEVILLE, CA 95446-8300 US
Tel: 707-869-9055  Fax: 707-869-9201

Contact information for business:
2325 AVENIDA DE LAS BRISAS  SANTA ROSA, CA 95405-8602 US
Tel: 707-541-7302  Fax: --

Registration Information:
NPI: 1285024166
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y183500000XPharmacy Service Providers
Pharmacist
CA43852

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




HEALTH CARE JOBS CA - Page 1



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