Organization
BLEND LABS RX, LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SAMANTHA SIMMONDS (MANAGER)
(914) 745-7500
Entity
Organization
Contact information
Practice address
11502 LIBERTY AVE STE 200, SOUTH RICHMOND HILL, NY 11419-1938
(914) 745-7400
Mailing address
11502 LIBERTY AVE STE 200, SOUTH RICHMOND HILL, NY 11419-1938
(914) 745-7400
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
038542
NEW YORK STATE LICENSE
NY
Enumeration date
02/10/2021
Last updated
06/29/2022
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