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Mr. Ben D Blackburn, DPH
Pharmacist in Collinsville, Oklahoma
NPI 1932480498

Ben D Blackburn is a Pharmacist based in Owasso, OK. Ben D Blackburn practices in Collinsville, OK and has the professional credentials of DPH. The NPI Number for Ben D Blackburn is 1932480498 and holds a License No. 12179 (Oklahoma).

The current practice location address for Ben D Blackburn is 16657 E 122Nd St N, Collinsville, OK and can be reached out via phone at 918-688-8578.

Location: 16657 E 122Nd St N, Collinsville, OK, 74055-5371
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1932480498
Provider Name
Ben D Blackburn
Credential
DPH
Provider Entity Type
Individual
Gender
Male
Address
16657 E 122Nd St N, Collinsville, OK, 74055-5371
Phone Number
918-688-8578
Fax Number
Provider Enumeration Date
08/29/2011
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
100234240 05 OK
100234240T 05 OK
institution
Provider Business Practice Location Address Details
Address
16657 E 122Nd St N
City
Collinsville
State
Oklahoma
Zip
74021-5180
Phone Number
918-688-8578
Fax Number
person
Provider Business Mailing Address Details
Address
16657 E 122Nd St N
City
Collinsville
State
Oklahoma
Zip
74021-5180
Phone Number
918-688-8578
Fax Number
person
Provider's Taxonomy Details 1
Type
Pharmacy Service Providers
Classification
Pharmacist
Speciality
-
Taxonomy
183500000X
License No.
12179 (Oklahoma)
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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