Blackwell, Roger D
Blackwell, Roger D is an individual health care provider with primary practice located at 200 Patewood Dr Suite A12, Greenville SC 29615-3593. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Blackwell, Roger D can be contacted via phone (864) 454-2369.Contact Information
Primary practice address
200 Patewood Dr Suite A12
Greenville SC 29615-3593
Phone: (864) 454-2369
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Pharmacy Service Providers / Pharmacist | 183500000X | 8717 | South Carolina |
Profile Details
| NPI number | 1649216946 |
|---|---|
| LBN Legal business name | Blackwell, Roger D |
| Credentials | PHARMACIST |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 22nd, 2006 |
| Last updated | Jul 8th, 2007 - about 18 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1649216946 | NPPES |
| South Carolina | Other | 8717 | SC PHARMACIST IN CHARGE |
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