Organization
BLENDE DRUG INC
Active
Other names
Blende Drug
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN JOSEPH CERNAC SR. RPH (PIC/PRESIDENT)
(719) 542-2477
Entity
Organization
Contact information
Practice address
1910 SANTA FE DR, PUEBLO, CO 81006-1452
(719) 542-2477
(719) 544-4469
Mailing address
1910 SANTA FE DR, PUEBLO, CO 81006-1452
(719) 542-2477
(719) 544-4469
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
—
—
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03094299
—
CO
Enumeration date
03/28/2025
Last updated
03/28/2025
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