Matthew Bloom

NPI #1720680804 in Canton, Illinois

Provider Information

NPI Number: 1720680804
Entity Type: Individual
Name: Matthew Bloom
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Enumeration Date: Nov 12, 2020
Last Updated: Nov 12, 2020

Practice Location

Address: 825 N MAIN ST
City: Canton
State: Illinois
ZIP Code: 61520-1264
Phone: (309) 647-2610

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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