NPI 1013344357

Candace L Bloomer, PHARMACIST

Practitioner Pharmacist Mableton, GA

Practice location

Address: 5000 Floyd Rd SW, Mableton, GA 30126-1608
Phone: (318) 425-6280
Mailing address: 1850 N Market St, Shreveport, LA 71107-5212

Registered specialties

Pharmacist Primary

Pharmacy Service Providers Taxonomy 183500000X Licence 020336 (LA)

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Registry record

NPI: 1013344357
Entity type: Individual
Sex (as registered): Female
NPI issued: 1 Oct 2013
Record last updated: 24 Dec 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.