TERRY L BLASINGAME INC
Suppliers in Lake Arrowhead, CA

License number
California 51101
Category
Suppliers
Type
Community/Retail Pharmacy
Owner
Name: TERRY BLASINGAME
Title: OWNER / PIC
Phone: (909) 336-3999
Address
Address
28200 Ste N-150, Lake Arrowhead, CA 92352
National Provider ID: 1912262809
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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TERRY L. BLASINGAME, INC

PO Box 167, Lake Arrowhead, CA 92352

Industry:
Nonclassifiable Establishments, Ret Drugs/Sundries
Registration:
Aug 3, 2011
State ID:
C3398339
Business type:
Articles of Incorporation
President:
Terry L. Blasingame (President)
Agent:
Terry L Blaisngame,Lake Arrowhead, CA 92352 (Physical)

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