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MR. JEFFREY E BLOSSOM RPH

>> Pharmacist >> Pharmacy Service Providers

Registrant NPI Number: 1427192293

Individual Registrant:
MR. JEFFREY E BLOSSOM RPH
Gender: M
Not Sole Proprietor

Location and contact information for practice:
995 SEBASTIAN BLVD WINN DIXIE PHARMACY SEBASTIAN, FL 32958-4880 US
Tel: 772-388-4636  Fax: 772-388-3032

Contact information for business:
752 S FISCHER CIR  SEBASTIAN, FL 32958-4619 US
Tel: 772-388-4636  Fax: 772-388-3032

Registration Information:
NPI: 1427192293
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y183500000XPharmacy Service Providers
Pharmacist
FLPS0020872

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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