Elizabeth Blackwell

NPI #1750632808 in Bastrop, Louisiana

Provider Information

NPI Number: 1750632808
Entity Type: Individual
Name: Elizabeth Blackwell
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Enumeration Date: Sep 28, 2012
Last Updated: Sep 28, 2012

Practice Location

Address: 727 N WASHINGTON ST
City: Bastrop
State: Louisiana
ZIP Code: 71220-3003
Phone: (318) 283-5102

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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