Individual
MR. ANITA FAYE BLACKBURN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3401 N UNIVERSITY AVE, LUBBOCK, TX 79415-1734
(806) 741-3433
(806) 741-3778
Mailing address
3401 N UNIVERSITY AVE, LUBBOCK, TX 79415-1734
(806) 741-3433
(806) 741-3778
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
15705
TX
Other
Enumeration date
10/26/2006
Last updated
07/08/2007
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