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Michael Blackburn, RPH
Pharmacist in Maryville, Illinois
NPI 1225236284

Michael Blackburn is a Pharmacist based in Maryville, IL. Michael Blackburn practices in Maryville, IL and has the professional credentials of RPH. The NPI Number for Michael Blackburn is 1225236284 and holds a License No. 2004017958 (Illinois).

The current practice location address for Michael Blackburn is 30 Foxmoor Dr, Maryville, IL and can be reached out via phone at 314-343-0194.

Location: 30 Foxmoor Dr, Maryville, IL, 62062-6731
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1225236284
Provider Name
Michael Blackburn
Credential
RPH
Provider Entity Type
Individual
Gender
Male
Address
30 Foxmoor Dr, Maryville, IL, 62062-6731
Phone Number
314-343-0194
Fax Number
Provider Enumeration Date
07/10/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
30 Foxmoor Dr
City
Maryville
State
Illinois
Zip
62062-6731
Phone Number
314-343-0194
Fax Number
person
Provider Business Mailing Address Details
Address
30 Foxmoor Dr
City
Maryville
State
Illinois
Zip
62062-6731
Phone Number
314-343-0194
Fax Number
person
Provider's Taxonomy Details 1
Type
Pharmacy Service Providers
Classification
Pharmacist
Speciality
-
Taxonomy
183500000X
License No.
2004017958 (Missouri)
Definition
An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.
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