Individual
NEIL BLADEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
201 E TIPTON ST, SEYMOUR, IN 47274-3511
(812) 522-2628
Mailing address
8707 N JAKE GAYLE RD, COMMISKEY, IN 47227-9320
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26024703A
IN
Other
Enumeration date
08/11/2019
Last updated
08/11/2019
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