Jimmy Blackburn, PHARMD

NPI 1295144830 · on the registry since 2014

Practice

Address: 1500 E Downing St Ste 6
Tahlequah, OK 74464
Phone: (918) 456-0694
Organisation at this address: Eaglemed Llc
Tmc Pharmacy Inc
Raji M Gill Do Pc
James R Brixey Do Pc
Med-Trans Corporation
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 32

Registry record

Primary taxonomy: 183500000X
183500000X
Licence states on file: OK
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2022-07-21

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oklahoma