Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Michael Blackburn, RPH

Individual provider Pharmacist · NPI 1225236284

Michael Blackburn, RPH is a Pharmacist in Maryville, Illinois. Licensed in Missouri. Registered with an NPI since 2007.

Licensed in
MO
In the registry since
2007
What do these letters mean?
RPH — Registered Pharmacist
A pharmacist licensed by a state board.

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Practice location Address checks out

30 Foxmoor Dr
Maryville, IL 62062-6731
Phone: (314) 343-0194
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 2004017958 (MO)

Record details

NPI number1225236284
Entity typeIndividual (Type 1)
GenderMale
Credentials RPH
Sole proprietorNo
NPI enumeratedJuly 10, 2007
Last updated in NPPESSeptember 8, 2008
Mailing address30 Foxmoor Dr, Maryville, IL 62062-6731

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