Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. BENJAMIN DAVID BLITZBLAU, PHARMD
ActiveMR. BENJAMIN DAVID BLITZBLAU, PHARMD is a Pharmacotherapy Specialist healthcare provider located in LOVES PARK, Illinois. NPI 1699097865 is currently active in the NPPES registry. Verify at CMS.
Pharmacotherapy Specialist · LOVES PARK, IL
Registration Details
- NPI Number
- 1699097865
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 15, 2010 (16.519064702639 yrs)
- Last Updated
- Feb 15, 2010
- License
-
051290077 (IL)
Practice Information
- Address
-
1515 E RIVERSIDE BLVDKMART PHARMACYLOVES PARK, IL, 611114742Browse IL providers · Browse ZIP 61111
- Phone
- 8158778059
- Fax
- 8152824992
- Primary Specialty
-
Pharmacotherapy Specialist
1835P1200X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.