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BLAST PHARMA INC 1972270932

Overview
Name: BLAST PHARMA INC Specialty: Long Term Care Pharmacy Type of Practice: Organization Provider/Org: Medical School: Graduation year from medical school: Affiliation:
Specialties
Practice Type: Suppliers Classification: Pharmacy Specialization: Long Term Care Pharmacy. Definition of Specialty: A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities for mentally retarded, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements.
License & NPI
License #(s): , , , , License State(s): , , , ,
Addresses
Practice Location: BLAST PHARMA INC,BLAST PHARMACY,1807 W KATELLA AVE STE 206,ANAHEIM,CA,928046691,US Mailing Address: BLAST PHARMA INC,BLAST PHARMACY,1807 W KATELLA AVE STE 206,ANAHEIM,CA,928046691,US
Contact #
Practice location phone #: 7147337879 Practice location fax #: 7147337969 Mailing address Phone #: 7147337879 Mailing Address fax #: 7147337969 Authorized official Name/Telephone #:MOHAMED, HUSSEIN, CEO 7147337978
Misc
Date NPI was obtained: 08/26/2021 Last data data was updated: 10/27/2021 Insurances:
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