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Blackburn Drug LLC — NPI 1275109340, Jackson, WY | NPI Central

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OrganizationActive

Blackburn Drug LLC

NPI 1275109340 · Compounding Pharmacy · Jackson, WY

Provider details

NPI number: 1275109340
Entity type: Organization
Primary specialty: Compounding PharmacySuppliers
Organization subpart: No
Authorized official: James Blackburn, Owner(307) 201-1159

Specialties & taxonomies

Compounding PharmacyPrimary3336C0004X
Suppliers

Practice location

545 N Cache St Unit 10-S

Jackson, WY 83001-8685

Phone: (307) 201-1159

Fax: (307) 201-1553

Approximate (ZIP-level) locationGet directions

More WY providers

Mailing address

Po Box 11540

Jackson, WY 83002-1540

Other names (DBA / former)

Doing business as: Blackburn Drug
Doing business as: Blackburn Drug

Registry dates

Enumerated: 2021-05-31
Last updated: 2023-03-07
Certified: 2022-11-21

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.