Individual
MEGHAN BROOKE BLACKBURN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARM D
Contact information
Practice address
RR 6 BOX 840, STILWELL, OK 74960-8703
(918) 696-8800
(918) 696-8881
Mailing address
1570 ASPEN DR, TAHLEQUAH, OK 74464-6011
(918) 207-8939
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
13655
OK
Other
Enumeration date
09/27/2006
Last updated
09/13/2010
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