Individual
BRUCE FRANKLIN BLACKWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1114 EAST SARAH DEWITT DRIVE, GONZALES, TX 78629
(830) 672-2811
(830) 672-6544
Mailing address
1114 EAST SARAH DEWITT DRIVE, GONZALES, TX 78629
(830) 672-2811
(830) 672-6544
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
19222
TX
Other
Enumeration date
10/30/2020
Last updated
10/30/2020
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