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MRS. DEANNA E BLOSSOM RPH
>> Pharmacist >> Pharmacy Service ProvidersRegistrant NPI Number: 1437431962
Individual Registrant:MRS. DEANNA E BLOSSOM RPH
Gender: F
Not Sole Proprietor
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: --
Tel: 772-589-5177 Fax: --
Contact information for business:
752 S FISCHER CIR SEBASTIAN, FL 32958-4619 US
Tel: 772-589-0871 Fax: --
Tel: 772-589-0871 Fax: --
Registration Information:
NPI: 1437431962
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 183500000X | Pharmacy Service Providers Pharmacist | FL | PH18625 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
