Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. NICHOLAS WAYNE BLACKWELL, RPH. PHARM. D.
ActiveAmbulatory Care Pharmacist · HEARNE, TX
Registration Details
- NPI Number
- 1689280505
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 16, 2020 (5.5965515475206 yrs)
- Last Updated
- Sep 16, 2020
- License
-
58974 (TX)
Practice Information
- Address
-
400 W 2ND STHEARNE, TX, 778592566Browse TX providers · Browse ZIP 77859
- Phone
- 9794922404
- Fax
- 9792793374
- Primary Specialty
-
Ambulatory Care Pharmacist
1835P2201X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.