Blende Drug Inc

LBN: Blende Drug Inc
Blende Drug Inc is an health care organization with primary practice located at 1910 Santa Fe Dr , Pueblo CO 81006-1452. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Blende Drug Inc can be contacted via phone (719) 542-2477, or through Cernac, John Joseph via phone (719) 542-2477.

Contact Information

Primary practice address
1910 Santa Fe Dr Pueblo CO 81006-1452
Fax: (719) 544-4469
Website:
Authorized official contact:
Name: Cernac, John Joseph

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 1040000004 Colorado

Profile Details

NPI number 1609984194
LBN Legal business name Blende Drug Inc
DBA Doing business as Blende Drug Inc
Authorized official Cernac, John Joseph
Entity Organization
Organization subpart 1 No
Enumeration date Aug 26th, 2006
Last updated Apr 13th, 2023 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1609984194 NPPES
Other 2001139 PK
MEDICAID 03094299 PK

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