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Organization
CABRILLO PHARMACY
Active
Organization
CABRILLO PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT L BLOMQUIST RPH (OWNER)
(805) 643-9939
Entity
Organization
Contact information
Practice address
146 N BRENT ST, VENTURA, CA 93003-2810
(805) 643-9939
Mailing address
146 N BRENT ST, VENTURA, CA 93003-2810
(805) 643-9939
Taxonomy
Speciality
Code
Description
License number
State
3336C0004X
Compounding Pharmacy
Primary
AD20581
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0549545
NABP
—
01
—
PHY 48586
STATE LICENSE
CA
Enumeration date
12/22/2006
Last updated
03/07/2023
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