Dr. Blake Maxson
Pharmacist in College Station, TX. Individual provider (NPI-1).
NPI number1316618077
StatusActive
Last updated in NPPESSep 22, 2021
Details
- NPI
- 1316618077
- Entity type
- Individual (NPI-1)
- Name
- Dr. Blake Maxson
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Sep 22, 2021
- Certification date
- Sep 22, 2021
- Last updated
- Sep 22, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 183500000X | Pharmacist | 58938 | TX | Yes |
Practice location
4421 Highway 6 S Ste 300College Station, TX 77845-6176
Phone 979-330-5216
Mailing address
4421 Highway 6 S Ste 300College Station, TX 77845-6176
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