Individual
MR. CARL BLEDSOE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5268 US HIGHWAY 231, WETUMPKA, AL 36092-3169
(334) 567-5136
(334) 567-5142
Mailing address
5268 US HIGHWAY 231, WETUMPKA, AL 36092-3169
(334) 567-5136
(334) 567-5142
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
7879
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7879
PHARMACIST LICENSE NUMBER
AL
Enumeration date
12/19/2012
Last updated
12/19/2012
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