Individual
JAKE BLOMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DOCTOR OF PHARMACY
Contact information
Practice address
1921 COBORN BLVD, SAINT CLOUD, MN 56301-2100
(320) 252-4222
Mailing address
8555 QUADAY AVE NE UNIT 303, OTSEGO, MN 55330-6588
(701) 263-5774
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
125717
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
125717
PHARMACY LICENSE
MN
Enumeration date
08/10/2022
Last updated
08/10/2022
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us