Blitzblau, Benjamin David

Blitzblau, Benjamin David is an individual health care provider with primary practice located at 1515 E Riverside Blvd Kmart Pharmacy, Loves Park IL 61111-4742. He recently has only one registered license in Pharmacy Service Providers / Pharmacotherapy, which is considered as his primary health care specialty. Blitzblau, Benjamin David can be contacted via phone (815) 877-8059.

Contact Information

Primary practice address
1515 E Riverside Blvd Kmart Pharmacy Loves Park IL 61111-4742
Phone: (815) 877-8059
Fax: (815) 282-4992
Website:
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Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacotherapy 1835P1200X 051290077 Illinois

Profile Details

NPI number 1699097865
LBN Legal business name Blitzblau, Benjamin David
Credentials PHARMD
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 15th, 2010
Last updated Feb 15th, 2010 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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