| NPI | 1275336174 |
|---|---|
| Former Legal Business Name | BLENDE DRUG |
| Entity Type | Organization |
| Authorized Contact | JOHN JOSEPH CERNAC PIC/President 719-542-2477 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Additional Taxonomies | 261QH0100X Clinic/Center, Health Services |
| Enumeration Date | 2025-03-28 |
| Last Update Date | 2025-03-28 |