Individual
SARA BLOHM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2222 S WEBSTER AVE, GREEN BAY, WI 54301-2100
(920) 430-8089
Mailing address
2222 S WEBSTER AVE, GREEN BAY, WI 54301-2100
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
20038
WI
Other
Enumeration date
05/14/2020
Last updated
05/14/2020
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