Blackburn, Robert Wayne

Blackburn, Robert Wayne is an sole proprietor health care provider with primary practice located at 1068 E 14Th St , San Leandro CA 94577-3731. He recently has 2 registered licenses in different health care specialties including Pharmacy Service Providers / Pharmacist, Pharmacy Service Providers / Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist. Pharmacy Service Providers / Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist is his primary health care specialty. Blackburn, Robert Wayne can be contacted via phone (949) 735-5256.

Contact Information

Primary practice address
1068 E 14Th St San Leandro CA 94577-3731
Phone: (949) 735-5256
Fax: (949) 643-9477
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 30586 California
Pharmacy Service Providers / Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X 30586 California
Pharmacy Service Providers / Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X 06648 Nevada

Profile Details

NPI number 1386610855
LBN Legal business name Blackburn, Robert Wayne
Credentials PHARM.D.,M.B.A.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 24th, 2006
Last updated Jan 24th, 2011 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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