Individual
JOE BRYAN BLACKWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
2801 WADE HAMPTON BLVD, TAYLORS, SC 29687-2781
(864) 609-7306
(864) 609-0889
Mailing address
5443 LOCUST HILL RD, TRAVELERS REST, SC 29690-8639
(864) 238-6285
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5549
SC
Other
Enumeration date
12/11/2012
Last updated
12/11/2012
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