MRS. Lisa Michelle Bloebaum, PHARMD

NPI #1710260526 in Vincennes, Indiana

Provider Information

NPI Number: 1710260526
Entity Type: Individual
Name: MRS. Lisa Michelle Bloebaum, PHARMD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Credential: PHARMD
Enumeration Date: Sep 28, 2011
Last Updated: Sep 28, 2011

Practice Location

Address: 505 COLLEGE AVE
City: Vincennes
State: Indiana
ZIP Code: 47591
Phone: (812) 882-3896

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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