| Mr Ben D Blackburn, DPH | |
|
16657 E 122nd St N, Collinsville, OK 74021-5180 | |
| (918) 688-8578 | |
| Not Available |
| Full Name | Mr Ben D Blackburn |
|---|---|
| Gender | Male |
| Speciality | Pharmacist |
| Location | 16657 E 122nd St N, Collinsville, Oklahoma |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932480498 | NPI | - | NPPES |
| 100234240 | Medicaid | OK | |
| 100234240T | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 183500000X | Pharmacist | 12179 (Oklahoma) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Ben D Blackburn, DPH 12802 E 96th St N, Owasso, OK 74055-5371 Ph: (918) 272-7467 | Mr Ben D Blackburn, DPH 16657 E 122nd St N, Collinsville, OK 74021-5180 Ph: (918) 688-8578 |
Sherri Laverne Clark, DPH Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 1205 W Main St, Collinsville, OK 74021 Phone: 918-371-2547 Fax: 918-371-0268 | |
Melissa Ann Grunewald, Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 11605 N 135th East Ave, Collinsville, OK 74021 Phone: 918-371-5563 | |
Dr. Deena Caroline Jones, PHARM.D. Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 11605 N 135th East Ave, Collinsville, OK 74021 Phone: 918-371-5563 Fax: 918-371-9362 | |
Colton Turnbull, DPH Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 1205 W Main St, Collinsville, OK 74021 Phone: 918-371-2547 Fax: 918-371-0268 | |
Al Tharyn Nacthigall, DPH Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 1205 W Main St, Collinsville, OK 74021 Phone: 918-371-2547 Fax: 918-371-0268 | |
Mrs. Angela Maria Edwards, PHARMD Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 11605 N 135th East Ave, Collinsville, OK 74021 Phone: 918-371-5563 Fax: 918-371-9362 |