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Contact Information

PATRICIA E BLAYLOCK
611 HIGHWAY 62 65 N
HARRISON, AR72601-2208
 Phone: 870-741-2118
 Fax: 870-741-3736
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pharmacist

183500000X
Indicates primary specialty

NPI Profile & details for PATRICIA E BLAYLOCK · (Female)

NPI # 1417544610
Status Active
Credentials
Entity Individual
Enumeration date 12/22/2020
Last updated 12/22/2020 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • AR License # PD06372
Hospital affiliation(s) Not Available
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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