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Contact Information

NICHOLAS W BLACKWELL, RPH. PHARM. D.
400 W 2ND ST
HEARNE, TX77859-2566
 Phone: 979-492-2404
 Fax: 979-279-3374
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Ambulatory Care

1835P2201X
Indicates primary specialty

NPI Profile & details for NICHOLAS W BLACKWELL · (Male)

NPI # 1689280505
Status Active
Credentials RPH. PHARM. D.
Entity Individual
Enumeration date 09/16/2020
Last updated 09/16/2020 - About 6 years ago
Sole proprietor 1 No
Identifiers
  • TX License # 58974
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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