MR. Eugene C Blackwell JR.

NPI #1245509306 in Frankfort, Illinois

Provider Information

NPI Number
1245509306
Entity Type
Individual
Name
MR. Eugene C Blackwell JR.
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Pharmacist
Enumeration Date
Dec 19, 2011
Last Updated
Dec 19, 2011

Practice Location

Address
21351 GEORGETOWN RD
ZIP Code
60423-3008
Phone
(815) 464-0524

Specialties & Taxonomy Codes

Specialty
Pharmacist

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