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NPI Code Detail

MEDICARE: DR. RODNEY BUDDY BLACKBURN PHARMD

MEDICARE: DR. RODNEY BUDDY BLACKBURN PHARMD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacist012034KY

General Provider Information

NPI Number : 1841571676
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. RODNEY BUDDY BLACKBURN PHARMD
Provider Business Mailing Address
First Line : 2209 RICHMOND RD
Second Line :
City : LEXINGTON
State : KY
Zip : 40502-1306
Country : US
Telephone Number : 859-269-8832
Fax Number : 859-269-3186
Provider Business Practice Location Address
First Line : 2209 RICHMOND RD
Second Line :
City : LEXINGTON
State : KY
Zip : 40502-1306
Country : US
Telephone Number : 859-269-8832
Fax Number : 859-269-3186
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/07/2011
Last Update Date : 09/07/2011

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