NPI 1396057170

Mark James Blosser, PHARMACIST

Practitioner Pharmacist Jefferson City, TN

Practice location

Address: 132 E Broadway Blvd, Jefferson City, TN 37760-2535
Phone: (865) 471-0548
Fax: (865) 471-5103
Mailing address: 3505 Ferry Rd., Knoxville, TN 37920

Registered specialties (2)

Pharmacist Primary

Pharmacy Service Providers Taxonomy 183500000X Licence 0000027206 (TN)

Other Pharmacist providers in Tennessee →

Pharmacist

Pharmacy Service Providers Taxonomy 183500000X Licence 03323815 (OH)

Registry record

NPI: 1396057170
Entity type: Individual
Sex (as registered): Male
NPI issued: 8 Jul 2010
Record last updated: 8 Jul 2010

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.