Steven Lloyd Bladow, PHARMD
Individual provider Active NPI Pharmacist · Shakopee, MN
NPI 1295042620 · NPPES record last updated Sep 7, 2010
Key facts
- NPI
- 1295042620
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 119838 (MN)
- Practice address
- 7467 Hampton LN
Shakopee, MN 55379-7025 - Phone
- (612) 234-5552
- Fax
- (763) 416-2769
- NPI assigned
- Sep 7, 2010
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 119838 | MN | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 119838 | MN | Yes |
Addresses
Primary practice location
7467 Hampton LN
Shakopee, MN 55379-7025
Mailing address
7467 Hampton LN
Shakopee, MN 55379-7025
Phone (612) 234-5552
Other providers in Shakopee, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 7, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.