NPI 1003081621

Kacey Kegans Blackerby, PHARMD

Practitioner Pharmacist Leonard, TX

Practice location

Address: 122 W. Collin St., Leonard, TX 75452
Phone: (903) 587-3363
Fax: (903) 587-2714
Mailing address: PO Box 1229, Leonard, TX 75452-1229

Registered specialties

Pharmacist Primary

Pharmacy Service Providers Taxonomy 183500000X Licence 38725 (TX)

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Registry record

NPI: 1003081621
Entity type: Individual
Sex (as registered): Female
NPI issued: 24 Apr 2008
Record last updated: 24 Apr 2008

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.