Healthcare Provider Details

I. General information

NPI: 1134313497
Provider Name (Legal Business Name): APRIL L BLACKFORD PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/30/2007
Last Update Date: 06/25/2024
Certification Date: 06/25/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6311 DEANS ST
BAILEY NC
27807-8641
US

IV. Provider business mailing address

408 E WHITAKER MILL RD
RALEIGH NC
27608-2632
US

V. Phone/Fax

Practice location:
  • Phone: 919-696-0608
  • Fax: 919-832-0836
Mailing address:
  • Phone: 919-696-0608
  • Fax: 919-832-0836

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number17239
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: