# ALMA IRENE BLACKMAN

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

## Provider details

- **NPI number:** 1962770990
- **Authorized official:** ALMA IRENE BLACKMAN (PHARMACY TECHNICIAN)
- **Authorized official phone:** (619) 248-0436

## Contact information

- **Practice address:** 9119 JAMACHA RD, 149, SPRING VALLEY, CA 91977-4162
- **Practice address phone:** (619) 248-0436
- **Practice address fax:** (619) 713-0058
- **Mailing address:** 9119 JAMACHA RD, 149, SPRING VALLEY, CA 91977-4162
- **Mailing address phone:** (619) 248-0436

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 286500000X | Military Hospital | 67560 | CA | Yes |

## Other

- **Enumeration date:** 12/05/2011
- **Last updated:** 12/05/2011
