NPI 1548629579
Blackwell Pharmacy LLC
Practice location
- Address
- 1004 W Doolin Ave, Blackwell, OK 74631-1354
- Phone
- (580) 363-2137
- Fax
- (580) 363-5582
- Mailing address
- 14101 N Eastern Ave STE a, Edmond, OK 73013-5860
Authorised official
- Name
- David L George
- Title
- Co-Owner/Manager
- Phone
- (580) 284-7896
Registered specialties (4)
Community/Retail Pharmacy
Primary
Durable Medical Equipment & Medical Supplies
Compounding Pharmacy
Long Term Care Pharmacy
Registry record
- NPI
- 1548629579
- Entity type
- Organization
- NPI issued
- 18 Feb 2016
- Record last updated
- 19 Aug 2024
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.