Individual provider · Type 1 NPI
Michael Blackburn, RPH
Pharmacist · Maryville, IL
Practice location
30 Foxmoor Dr
Maryville, IL 62062-6731
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pharmacist Primary | 183500000X | 2004017958 (MO) |
Pharmacist: 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…
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About NPI 1225236284
Michael Blackburn, RPH's National Provider Identifier is 1225236284, issued on Jul 10, 2007. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Maryville, IL. The record was last updated on Sep 8, 2008.