Individual
DR. BILLY BLALOCK III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM D
Contact information
Practice address
6000 S PENNSYLVANIA AVE, OKLAHOMA CITY, OK 73159-3302
(405) 681-1419
Mailing address
6000 S PENNSYLVANIA AVE, OKLAHOMA CITY, OK 73159-3302
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
15758
OK
Other
Enumeration date
02/26/2015
Last updated
02/26/2015
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