KENNETH BLANTON

Pharmacist

Active Individual
NPI: 1962986810

Practice Address

1301 CLINIC DR
Tyler, TX 75701

Phone: (903) 592-8635

Specialties

Specialty Code Primary License
Pharmacist 183500000X Yes 70668 (TX)
Pharmacist - Nuclear 1835N0905X No 70668 (TX)

Frequently Asked Questions

NPI 1962986810 is the National Provider Identifier for KENNETH BLANTON, a Pharmacist provider located in Tyler, TX. This NPI was enumerated on September 17, 2018.
KENNETH BLANTON practices at 1301 CLINIC DR, Tyler, TX 75701.

Quick Facts

NPI
1962986810
Type
Individual
Enumerated
Sep 17, 2018
Last Updated
Jan 18, 2024

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