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DR. PATRICIA EVELYN BLAYLOCK

>> Pharmacist >> Pharmacy Service Providers

Registrant NPI Number: 1417544610

Individual Registrant:
DR. PATRICIA EVELYN BLAYLOCK 
Gender: F
Not Sole Proprietor

Location and contact information for practice:
611 HIGHWAY 62 65 N  HARRISON, AR 72601-2208 US
Tel: 870-741-2118  Fax: 870-741-3736

Contact information for business:
611 HIGHWAY 62 65 N  HARRISON, AR 72601-2208 US
Tel: 870-741-2268  Fax: 870-741-3736

Registration Information:
NPI: 1417544610
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y183500000XPharmacy Service Providers
Pharmacist
ARPD06372

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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