NPI 1275109340
Blackburn Drug LLC
Practice location
- Address
- 545 N Cache St Unit 10-S, Jackson, WY 83001-8685
- Phone
- (307) 201-1159
- Fax
- (307) 201-1553
- Mailing address
- PO Box 11540, Jackson, WY 83002-1540
Authorised official
- Name
- James Edward Blackburn
- Title
- Owner
- Phone
- (307) 201-1159
Registered specialties
Compounding Pharmacy
Primary
Registry record
- NPI
- 1275109340
- Entity type
- Organization
- NPI issued
- 31 May 2021
- Record last updated
- 7 Mar 2023
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.