Individual
DR. ROBERT WAYNE BLACKBURN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARM.D.,M.B.A.
Contact information
Practice address
1068 E 14TH ST, SAN LEANDRO, CA 94577-3731
(949) 735-5256
(949) 643-9477
Mailing address
25515 LONE PINE CIR, LAGUNA HILLS, CA 92653-5847
(949) 735-5256
(949) 643-9477
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
30586
CA
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
06648
NV
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
30586
CA
Other
Enumeration date
02/24/2006
Last updated
01/24/2011
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