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Individual

DR. ZACHARIAH ZEUS BLACKWOOD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PHARMD

Contact information

Practice address
513 BOND ST, ASTORIA, OR 97103-4230
(503) 593-9575
Mailing address
695 S HIGHWAY 101, WARRENTON, OR 97146-9319
(503) 861-3033

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
10801
OR
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
0010801
OR

Other

Enumeration date
10/27/2007
Last updated
02/06/2020
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