Individual provider · Type 1 NPI

Bill E. Blalack, RPH

Pharmacist · Brookhaven, MS

NPI number 1194034264 Active

Practice location

218 S Whitworth Ave
Brookhaven, MS 39601-3343

Fax (601) 835-3376

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000XPD05554 (AR)
Pharmacist 183500000X5911 (MS)

Pharmacist: An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage…

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About NPI 1194034264

Bill E. Blalack, RPH's National Provider Identifier is 1194034264, issued on Oct 6, 2010. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Brookhaven, MS. The record was last updated on Oct 6, 2010.