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NPI Code Detail

MEDICARE: ALEXANDER F BLUM PHARMACIST

MEDICARE: ALEXANDER F BLUM PHARMACIST
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacistPHA.0024850CO

General Provider Information

NPI Number : 1235826009
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALEXANDER F BLUM PHARMACIST
Provider Business Mailing Address
First Line : 9123 E MISSISSIPPI AVE
Second Line : E1 BLDG 13 UNIT 302
City : DENVER
State : CO
Zip : 80247
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 4005 E 8TH PL
Second Line :
City : DENVER
State : CO
Zip : 80220-3942
Country : US
Telephone Number : 303-749-3969
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/20/2023
Last Update Date : 07/24/2024

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Directions to “ ALEXANDER F BLUM PHARMACIST” Practice Location

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