Matthew Blalock, PHARMD Valid NPI
Individual provider · Pharmacist · Liberty, MS
- NPI
- 1851115547
- Type
- Individual (Type 1)
- Primary specialty
- Pharmacist
- Specialty group
- Pharmacy Service Providers
- Taxonomy code
- 183500000X
- License number
- E-12682 (MS)
- Sex
- Male
- Sole proprietor
- Yes
- Enumerated
- 2024-11-11
- Last updated
- 2024-11-11
Practice location
Po Box 217
Liberty, MS 39645-0217
(601) 657-8051