MR. Bob L Blackburn, DPH

NPI #1750650883 in Owasso, Oklahoma

Provider Information

NPI Number
1750650883
Entity Type
Individual
Name
MR. Bob L Blackburn, DPH
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Pharmacist
Credential
DPH
Enumeration Date
Dec 19, 2011
Last Updated
Dec 19, 2011

Practice Location

Address
13806 E 94TH ST N
City
Owasso
ZIP Code
74055-4566
Phone
(918) 272-2827

Specialties & Taxonomy Codes

Specialty
Pharmacist

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