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MRS. DEANNA E BLOSSOM RPH

>> Pharmacist >> Pharmacy Service Providers

Registrant NPI Number: 1437431962

Individual Registrant:
MRS. DEANNA E BLOSSOM RPH
Gender: F
Not Sole Proprietor

Location and contact information for practice:
9595 N US HIGHWAY 1  SEBASTIAN, FL 32958-6301 US
Tel: 772-589-5177  Fax: --

Contact information for business:
752 S FISCHER CIR  SEBASTIAN, FL 32958-4619 US
Tel: 772-589-0871  Fax: --

Registration Information:
NPI: 1437431962
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y183500000XPharmacy Service Providers
Pharmacist
FLPH18625

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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