Individual
DANIELLE NICOLE BLACKBURN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
2831 HIGHWAY 15, FAIRBURY, NE 68352-1008
(402) 729-3755
Mailing address
2831 HIGHWAY 15, FAIRBURY, NE 68352-1008
(402) 729-3755
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
16858
NE
183500000X
Pharmacist
Primary
66076
TX
Other
Enumeration date
10/26/2020
Last updated
10/26/2020
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