Organization
BLITZ PHARMACY INC
Active
Other names
Blitz Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
JASON BLITZ (PRESIDENT / MANAGER)
(607) 742-6315
Entity
Organization
Contact information
Practice address
485 MAPLE ST, BIG FLATS, NY 14814-9701
(607) 358-4200
(607) 358-4204
Mailing address
485 MAPLE ST, BIG FLATS, NY 14814-9701
(607) 358-4200
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
032347
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03940741
—
NY
01
—
2141910
PK
—
Enumeration date
08/26/2013
Last updated
01/17/2017
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