Healthcare Provider Details

I. General information

NPI: 1902606619
Provider Name (Legal Business Name): BLENDRX INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/13/2025
Last Update Date: 03/13/2025
Certification Date: 03/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4128 W BURBANK BLVD
BURBANK CA
91505-2121
US

IV. Provider business mailing address

4128 W BURBANK BLVD
BURBANK CA
91505-2121
US

V. Phone/Fax

Practice location:
  • Phone: 818-697-0058
  • Fax: 818-697-6785
Mailing address:
  • Phone: 818-697-0058
  • Fax: 818-697-6785

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3336C0004X
TaxonomyCompounding Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: DR. AREN SAHAKIAN
Title or Position: SECRETARY/PIC
Credential: PHARM D
Phone: 818-697-0058