Individual
BLYTHE ASHLEY RETZLAFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
1627 HENTHORNE DR, SUITE A, MAUMEE, OH 43537-1370
(419) 865-0337
(419) 865-0629
Mailing address
610 FOSTER LN, MOUNT JULIET, TN 37122-3198
(419) 410-4051
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
03132100
OH
183500000X
Pharmacist
Primary
37063
TN
Other
Enumeration date
10/03/2012
Last updated
11/22/2013
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