| NPI | 1750639035 |
|---|---|
| Doing Business As | BLOSSOM HILL PHARMACY |
| Entity Type | Organization |
| Authorized Contact | SANDRA SCOTT Delegated Official,AO 832-646-5119 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: CA 52488) |
| Additional Taxonomies | 3336C0004X Pharmacy, Compounding Pharmacy |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| 3336L0003X Pharmacy, Long Term Care Pharmacy | |
| Enumeration Date | 2012-08-17 |
| Last Update Date | 2016-10-05 |