Debra Blackwell
NPI #1538419619 in Pageland, South Carolina
Provider Information
- NPI Number
- 1538419619
- Entity Type
- Individual
- Name
- Debra Blackwell
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Pharmacist
- Enumeration Date
- Sep 14, 2012
- Last Updated
- Sep 14, 2012
Practice Location
- Address
- 205 NORTH VAN LINGLE MUNGO BLVD
- City
- Pageland
- State
- South Carolina
- ZIP Code
- 29728
- Phone
- (843) 672-2420
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacist |
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