BOB L BLACKBURN

OWASSO, OK
NPI1750650883
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy183500000X Pharmacist
(Licence: OK  7135)
Enumeration Date2011-12-19
Last Update Date2011-12-19
Business Address
Mr. BOB L BLACKBURN DPh
13806 E 94TH ST N
OWASSO, OK 74055-4566
Phone number: 918-272-2827
Mailing Address
Mr. BOB L BLACKBURN DPh
13806 E 94TH ST N
OWASSO, OK 74055-4566
Phone number: 918-272-2827