Home » Oklahoma » 74021 » Ben D Blackburn

Ben D Blackburn (DPH)

Mr. Ben D Blackburn (DPH) is a health care provider specializes in Pharmacist.

profile-icon Basic Information

Practice Location 16657 E 122nd St N, Collinsville, OK 74021-5180, US
Practice Location Phone918-688-8578
Practice Location Fax
GenderMale
Specialty InPharmacist
NPI ?1932480498
Entity TypeIndividual
Enumeration Date ? Aug 29, 2011
Last Update Date ? Aug 29, 2011
Note:
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).

specialty-icon Specialties & Licenses of Ben D Blackburn

SpecialtySpecializationLicenseLicense State
Pharmacist 12179Oklahoma

legacy-id-icon Legacy Provider IDs of Ben D Blackburn

Provider IdIssuer StateIssuer TypeIssuer
100234240TOklahomaMedicaid
100234240OklahomaMedicaid