Individual
MRS. DIANA L BLAZEK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
3761 CHANCELLOR DR, GREENWOOD, IN 46143-7221
(401) 374-7171
Mailing address
3761 CHANCELLOR DR, GREENWOOD, IN 46143-7221
(401) 374-7171
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26017785
IN
Other
Enumeration date
03/26/2020
Last updated
03/26/2020
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