Individual
AMBER BLAZER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5961 N STATE ROAD 135, GREENWOOD, IN 46143-5617
(317) 530-3087
Mailing address
4529 FRONTIER DR APT 514, INDIANAPOLIS, IN 46237-9809
(317) 308-8826
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26026678A
IN
Other
Enumeration date
11/19/2019
Last updated
11/19/2019
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