Individual provider · Type 1 NPI

James Edward Blackburn Jr.

Pharmacist · Jackson, WY

NPI number 1710230230 Active

Practice location

150 Scott Ln Spc A
Jackson, WY 83001-8467

Call (307) 201-1159 Map

Fax (307) 201-1553

Mailing address

PO Box 11540
Jackson, WY 83002-1540

Other practice locations

830 W Broadway Ave, Jackson, WY 83001-8647 · (307) 733-6222

Specialties and licenses

Taxonomy	Code	License
Pharmacist Primary	183500000X	3585 (WY)

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 1710230230

James Edward Blackburn Jr.'s National Provider Identifier is 1710230230, issued on Oct 22, 2012. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Jackson, WY. The record was last updated on Feb 16, 2021.