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DR. KALEB WADE BLAIR PHARM.D., R.PH.

>> Pharmacist >> Pharmacy Service Providers

Registrant NPI Number: 1962729566

Individual Registrant:
DR. KALEB WADE BLAIR PHARM.D., R.PH.
Gender: M
Sole Proprietor

Location and contact information for practice:
93 ISOM PLAZA  ISOM, KY 41824 US
Tel: 606-633-9238  Fax: 606-633-0222

Contact information for business:
PO BOX 250  ISOM, KY 41824-0250 US
Tel: 606-633-9238  Fax: 606-633-0222

Registration Information:
NPI: 1962729566
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y183500000XPharmacy Service Providers
Pharmacist
KY014012

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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