Provider Demographics
NPI:1891399283
Name:GARMER, BLAIR (PHARMD)
Entity Type:Individual
Prefix:
First Name:BLAIR
Middle Name:
Last Name:GARMER
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2125 E 1300TH PL
Mailing Address - Street 2:
Mailing Address - City:MENDON
Mailing Address - State:IL
Mailing Address - Zip Code:62351-2115
Mailing Address - Country:US
Mailing Address - Phone:660-341-4785
Mailing Address - Fax:
Practice Address - Street 1:1805 ELM ST
Practice Address - Street 2:
Practice Address - City:CANTON
Practice Address - State:MO
Practice Address - Zip Code:63435-1685
Practice Address - Country:US
Practice Address - Phone:573-288-0355
Practice Address - Fax:573-288-0352
Is Sole Proprietor?:No
Enumeration Date:2020-11-25
Last Update Date:2020-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2014022483183500000X
IL051297812183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist