Individual
MR. PAUL ANDREW BLAZKOVEC
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
2323 N LAKE DR, MILWAUKEE, WI 53211-4508
(414) 291-1068
(414) 291-1073
Mailing address
2323 N LAKE DR, MILWAUKEE, WI 53211-4508
(414) 291-1068
(414) 291-1073
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
11701
WI
Other
Enumeration date
04/26/2013
Last updated
04/26/2013
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