Matthew Bloom
Pharmacist · Canton, IL
Practice location
825 N Main StCanton, IL 61520-1264
- Phone
- (309) 647-2610
NPI record
- NPI
- 1720680804
- Entity type
- Individual (Type 1)
- Enumeration date
- November 12, 2020
- Last updated
- November 12, 2020
- Certified
- November 12, 2020
- Sole proprietor
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacist Primary | 183500000X |
051287329 | IL |
About Matthew Bloom
Matthew Bloom is a healthcare provider registered in the NPI registry with the primary taxonomy Pharmacist (code 183500000X). The practice location is 825 N Main St, Canton, IL 61520-1264. The NPI number 1720680804 was assigned on November 12, 2020 and the record was last updated on November 12, 2020.
Matthew Bloom lists a license in the registry: #051287329 (IL) for Pharmacist. License numbers are self-reported to NPPES; verify them with the state licensing board.
Frequently asked questions
What is the NPI number of Matthew Bloom?
The NPI number is 1720680804.
What is the phone number of Matthew Bloom?
The phone number listed for the practice location is (309) 647-2610.
Where is Matthew Bloom located?
825 N Main St, Canton, IL 61520-1264.
What is the taxonomy code for Matthew Bloom?
The primary taxonomy code is 183500000X – Pharmacist.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
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