Individual
FRED C BLUMHAGEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
200 E ROOSEVELT RD, VILLA PARK, IL 60181-3500
(630) 993-0869
(630) 993-1296
Mailing address
200 E ROOSEVELT RD, VILLA PARK, IL 60181-3500
(630) 993-0869
(630) 993-1296
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051028451
IL
Other
Enumeration date
08/26/2011
Last updated
08/26/2011
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