Most Relevant Information
Provider Data
| NPI Number: | 1003462607 |
| Provider Name: | NEIL BLADEN PHARMD |
| Entity Type: | Individual |
| Taxonomy Code: | 183500000X |
| Specialty: | Pharmacist |
| License Number: | 26024703A |
Most Important Dates
| Enumeration Date: | 08/11/2019 |
| Last Updated: | 08/11/2019 |
Provider Practice Location
201 E TIPTON ST
SEYMOUR
IN
472743511
Practice Location Phone/Fax
| Phone: | 8125222628 |
| Fax: |
Provider Mailing Location
8707 N JAKE GAYLE RD
COMMISKEY
IN
472279320
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |