Individual
DR. ANDREA BOOSINGER BLAU
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Contact information
Practice address
1 JARRETT WHITE RD, TRIPLER ARMY MEDICAL CENTER, TRIPLER AMC, HI 96859-5001
(808) 433-2460
(808) 433-1558
Mailing address
1 JARRETT WHITE RD, TRIPLER ARMY MEDICAL CENTER ATTN:MCHK-QS, TRIPLER AMC, HI 96859-5001
(808) 433-2460
(808) 433-1558
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
11420
TN
183500000X
Pharmacist
14311
AL
183500000X
Pharmacist
Primary
2340
HI
Other
Enumeration date
01/09/2006
Last updated
07/08/2007
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