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Dave W Blackwell, RPh

Pharmacist in Lutz, FL. Individual provider (NPI-1).

NPI number1801237409
StatusActive
Last updated in NPPESJul 11, 2013

Details

NPI
1801237409
Entity type
Individual (NPI-1)
Name
Dave W Blackwell
Credential
RPh
Sex
Male
Sole proprietor
Yes
Enumeration date
Jul 11, 2013
Last updated
Jul 11, 2013

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
183500000X PharmacistPS37967FLYes

Practice location

1930 Land O Lakes Blvd
Lutz, FL 33549-2999

Phone 813-948-4500

Mailing address

4626 Tailfeather Ct
Land O Lakes, FL 34639-6401

Phone 813-235-6292

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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Pharmacist providers in Lutz, FL

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