| NPI | 1972270932 |
|---|---|
| Doing Business As | BLAST PHARMACY |
| Entity Type | Organization |
| Authorized Contact | MOHAMED HUSSEIN CEO 714-733-7978 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 3336L0003X Pharmacy, Long Term Care Pharmacy |
| Enumeration Date | 2021-08-26 |
| Last Update Date | 2024-06-06 |