Individual
BLANE LAWYER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
200 W MAIN ST, ODON, IN 47562-1218
(812) 636-4609
(812) 636-8004
Mailing address
200 W MAIN ST, ODON, IN 47562-1218
(812) 636-4609
(812) 636-8004
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26026671A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100294700
—
IN
Enumeration date
11/11/2020
Last updated
11/11/2020
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