Individual
COLLIN BLACKWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
4502 MEDICAL DR, SAN ANTONIO, TX 78229-4402
(210) 743-4022
Mailing address
5623 HAMILTON WOLFE APT 433, SAN ANTONIO, TX 78240-4054
(806) 335-6224
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
75775
TX
Other
Enumeration date
08/16/2025
Last updated
08/24/2025
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