Name: | Kisha Monique Blackmon |
Specialization: | Pharmacy Technician |
Gender: | Female |
Location: | 5730 Woodcrest Ave, Philadelphia, Pennsylvania, 19131-2225 |
Phone: | 267-644-9244 |
NPI Number: | 1285126862 |
NPI Enumeration Date: | 31 May, 2018 |
NPI Last Update On: | 31 May, 2018 |
Specialization | License Number | State | Status | |
Pharmacy Technician | 30028491 | Pennsylvania | Primary |
Address: | 5730 Woodcrest Ave, Philadelphia, Pennsylvania |
Zip: | 19131-2225 |
Phone Number: | 267-644-9244 |
Fax Number: | -- |