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Contact Information

MATTHEW BLALOCK, PHARM.D.
PO BOX 217
LIBERTY, MS39645-0217
 Phone: 601-657-8051
 Fax: 601-657-8049
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pharmacist

183500000X
Indicates primary specialty

NPI Profile & details for MATTHEW BLALOCK · (Male)

NPI Number 1851115547
Status Active
Credentials PHARM.D. (Doctor of Pharmacy)
Entity Individual
Enumeration date 11/11/2024
Last updated 11/11/2024 - More than a year ago
Sole proprietor 1 Yes
Identifiers
  • MS License # E-12682
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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