| NPI | 1083413454 |
|---|---|
| Doing Business As | BLEND COMPOUNDING PHARMACY |
| Entity Type | Organization |
| Authorized Contact | ZIVAH GABAIE Owner 310-974-4455 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0004X Pharmacy, Compounding Pharmacy |
| Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2025-03-10 |
| Last Update Date | 2025-03-10 |