# BLEND LABS RX, LLC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1053903104
- **Authorized official:** MS. SAMANTHA SIMMONDS (MANAGER)
- **Authorized official phone:** (914) 745-7500

## Contact information

- **Practice address:** 11502 LIBERTY AVE STE 200, SOUTH RICHMOND HILL, NY 11419-1938
- **Practice address phone:** (914) 745-7400
- **Mailing address:** 11502 LIBERTY AVE STE 200, SOUTH RICHMOND HILL, NY 11419-1938
- **Mailing address phone:** (914) 745-7400

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 02/10/2021
- **Last updated:** 06/29/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 038542 | NEW YORK STATE LICENSE | NY |