IndividualActive
Blair Baillio, PHARMD
NPI 1215548516 · Pharmacist · Beaver Dam, WI
Provider details
- NPI number
- 1215548516
- Entity type
- Individual
- Primary specialty
- PharmacistPharmacy Service Providers
- Credential
- PHARMD
- Sex
- Male
- Sole proprietor
- No
- License
- 20452-40 (WI)
Specialties & taxonomies
Pharmacy Service Providers
Practice location
609 N Spring St
Beaver Dam, WI 53916-2040
Phone: (920) 356-1500
Approximate (ZIP-level) locationGet directions
Mailing address
609 N Spring St
Beaver Dam, WI 53916-2040
Registry dates
- Enumerated
- 2020-08-11
- Last updated
- 2020-08-11
- Certified
- 2020-08-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.