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1194005744
FRED C BLUMHAGEN
VILLA PARK, IL
NPI
1194005744
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: IL 051028451)
Enumeration Date
2011-08-26
Last Update Date
2011-08-26
Business Address
-- FRED C BLUMHAGEN RPH
200 E ROOSEVELT RD
VILLA PARK, IL 60181-3500
Phone number: 630-993-0869
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Mailing Address
-- FRED C BLUMHAGEN RPH
200 E ROOSEVELT RD
VILLA PARK, IL 60181-3500
Phone number: 630-993-0869
Copy
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