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Individual

JULIA ANN BARTLOW

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
R.PH.

Contact information

Practice address
645 S ROGERS ST, BLOOMINGTON, IN 47403-2353
(812) 355-6340
Mailing address
RR 2 BOX 119, BLOOMFIELD, IN 47424-9789
(812) 384-4414

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26016293
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
26016293
INDIANA BOARD OF PHARMACY
IN
Enumeration date
07/24/2007
Last updated
07/24/2007
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