Blanton, Mark Lee
Blanton, Mark Lee is an sole proprietor health care provider with primary practice located at 310 Cloverleaf Sq Ste A1 , Big Stone Gap VA 24219-3074. He recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as his primary health care specialty. Blanton, Mark Lee can be contacted via phone (276) 523-2100.Contact Information
Primary practice address
310 Cloverleaf Sq Ste A1
Big Stone Gap VA 24219-3074
Phone: (276) 523-2100
Fax: (276) 523-2101
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Community/Retail Pharmacy | 3336C0003X | 0202010024 | Virginia |
Profile Details
| NPI number | 1053901272 |
|---|---|
| LBN Legal business name | Blanton, Mark Lee |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 21st, 2021 |
| Last updated | Jan 21st, 2021 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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