Organization
BLENDE DRUG INC
Active
Other names
BLENDE DRUG INC
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN JOSEPH CERNAC (RPH/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
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
1040000004
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03094299
—
CO
01
—
2001139
PK
—
Enumeration date
08/26/2006
Last updated
04/13/2023
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