Individual
DAVE W BLACKWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
1930 LAND O LAKES BLVD, LUTZ, FL 33549-2999
(813) 948-4500
Mailing address
4626 TAILFEATHER CT, LAND O LAKES, FL 34639-6401
(813) 235-6292
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PS37967
FL
Other
Enumeration date
07/11/2013
Last updated
07/11/2013
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