Provider First Line Business Practice Location Address:
222 E WATAUGA AVE
Provider Second Line Business Practice Location Address:
BLANKENSHIP PHARMACY
Provider Business Practice Location Address City Name:
JOHNSON CITY
Provider Business Practice Location Address State Name:
TN
Provider Business Practice Location Address Postal Code:
37601-4630
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
423-926-4801
Provider Business Practice Location Address Fax Number:
423-929-1381
Provider Enumeration Date:
04/20/2007