Individual
RICHARD A BLAUVELT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMACIST
Contact information
Practice address
8820 S MERIDIAN ST, INDIANAPOLIS, IN 46217-6056
(317) 865-6833
(317) 865-6832
Mailing address
332 OAK BROOKE LN, GREENWOOD, IN 46142-3065
(317) 865-6753
(317) 865-6832
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26014909A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
26014909A
PHARMACIST LICENSE NUMBER
IN
Enumeration date
08/21/2006
Last updated
07/08/2007
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