Provider Demographics
NPI:1265729511
Name:BLANKINSHIP, WILLIAM RUDD III (PHARMD)
Entity type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:RUDD
Last Name:BLANKINSHIP
Suffix:III
Gender:M
Credentials:PHARMD
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Other - First Name:
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Mailing Address - Street 1:5401 W BROAD ST
Mailing Address - Street 2:T-1018
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23230-2629
Mailing Address - Country:US
Mailing Address - Phone:804-285-2975
Mailing Address - Fax:804-285-2975
Practice Address - Street 1:5401 W BROAD ST
Practice Address - Street 2:T-1018
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23230-2629
Practice Address - Country:US
Practice Address - Phone:804-285-2975
Practice Address - Fax:804-285-2975
Is Sole Proprietor?:Yes
Enumeration Date:2011-07-07
Last Update Date:2011-07-07
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
VA0202210692183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist