Calderon, Blaze Justin

Calderon, Blaze Justin is an sole proprietor health care provider with primary practice located at 551 Liberty Dr , Greenwood AR 72936-6001. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Calderon, Blaze Justin can be contacted via phone (479) 996-8533.

Contact Information

Primary practice address
551 Liberty Dr Greenwood AR 72936-6001
Phone: (479) 996-8533
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X PD15469 Arkansas

Profile Details

NPI number 1881287266
LBN Legal business name Calderon, Blaze Justin
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 16th, 2021
Last updated Feb 16th, 2021 - about 4 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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