MEDICARE: BLENDRX INC

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
1	3336C0004X	Compounding Pharmacy
2	3336C0003X	Community/Retail Pharmacy

General Provider Information

NPI Number	:	1902606619
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BLENDRX INC

Provider Business Mailing Address
First Line	:	4128 W BURBANK BLVD
Second Line	:
City	:	BURBANK
State	:	CA
Zip	:	91505-2121
Country	:	US
Telephone Number	:	818-697-0058
Fax Number	:	818-697-6785

Provider Business Practice Location Address
First Line	:	4128 W BURBANK BLVD
Second Line	:
City	:	BURBANK
State	:	CA
Zip	:	91505-2121
Country	:	US
Telephone Number	:	818-697-0058
Fax Number	:	818-697-6785

Authorized Official
Title or Position	:	SECRETARY/PIC
Name	:	DR. AREN SAHAKIAN
Credential	:	PHARM D
Telephone Number	:	818-697-0058

Provider Enumeration Date	:	03/13/2025
Last Update Date	:	03/13/2025

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Directions to “BLENDRX INC ” Practice Location

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