Individual
MRS. SARA L BLAHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.PH.
Contact information
Practice address
321 JEFFERSON ST N, WADENA, MN 56482-1372
(218) 631-4050
(218) 631-2726
Mailing address
50772 171ST AVE, VERNDALE, MN 56481-3109
(218) 631-4050
(218) 631-2726
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
114749-0
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
114749-0
STATE PHARMACIST LICENSE
MN
Enumeration date
11/24/2006
Last updated
07/08/2007
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