MR. Ben D Blackburn, DPH
NPI #1932480498 in Collinsville, Oklahoma
Provider Information
- NPI Number
- 1932480498
- Entity Type
- Individual
- Name
- MR. Ben D Blackburn, DPH
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Pharmacist
- Credential
- DPH
- Enumeration Date
- Aug 29, 2011
- Last Updated
- Aug 29, 2011
Practice Location
- Address
- 16657 E 122ND ST N
- City
- Collinsville
- State
- Oklahoma
- ZIP Code
- 74021-5180
- Phone
- (918) 688-8578
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacist |
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