Individual
STEVEN ALLEN BLACKWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D., J.D., R.PH.
Contact information
Practice address
7500 SECURITY BLVD # C3-20-17, CENTERS FOR MEDICARE & MEDICAID SERVICES, BALTIMORE, MD 21244-1849
(410) 786-6852
Mailing address
4600 KINGS MILL WAY, OWINGS MILLS, MD 21117-6601
(443) 394-0591
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
15124
MD
183500000X
Pharmacist
6081
TN
Other
Enumeration date
08/19/2006
Last updated
07/08/2007
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