Individual
MS. ANN KATHARINE BLOODGOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
1506 S ONEIDA ST, APPLETON, WI 54915-1305
(920) 738-2483
Mailing address
2748 SHERRY LN, GREEN BAY, WI 54302-5136
(920) 915-3088
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
12527
WI
183500000X
Pharmacist
5302031048
MI
Other
Enumeration date
05/08/2007
Last updated
07/08/2007
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