National Provider Identifier Database

BILL E BLALACK, RPH – NPI #1194034264
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, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.


Contact Information

BILL E BLALACK, RPH
218 S WHITWORTH AVE
BROOKHAVEN, MS39601-3343
Phone: 601-835-0370
Fax: 601-835-3376
Website:
Specialty Taxonomy Code
* Pharmacist 183500000X

* Indicates primary specialty

NPI Profile & details for BILL E BLALACK

NPI Number 1194034264
Credentials RPH (Registered Pharmacist)
Entity Individual
Enumeration date 10/06/2010
Last updated 10/06/2010 - About 16 years ago
Sole proprietor1 Yes
Identifiers
  • AR License #: PD05554
  • MS License #: 5911
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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