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NPI Code Detail

MEDICARE: BLOOMS CAMANO PHARMACY

MEDICARE: BLOOMS CAMANO PHARMACY
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
1333600000XPharmacyCF00055981WA
23336C0003XCommunity/Retail Pharmacy

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
14917083OTHEROTHER ID NUMBER-COMMERCIAL NUMBER
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1356456305
Entity Type Code : Organization
Provider Name (Legal Business Name) : BLOOMS CAMANO PHARMACY
Provider Business Mailing Address
First Line : 370 NE CAMANO DR
Second Line : STE 6
City : CAMANO ISLAND
State : WA
Zip : 98282-7279
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 370 NE CAMANO DR
Second Line : STE 6
City : CAMANO ISLAND
State : WA
Zip : 98282-7279
Country : US
Telephone Number : 360-387-5757
Fax Number : 360-387-3901
Authorized Official
Title or Position : OWNER
Name : MIKE BLOOM
Credential :
Telephone Number : 360-387-5757
Provider Enumeration Date : 08/20/2006
Last Update Date : 09/11/2025

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Directions to “BLOOMS CAMANO PHARMACY ” Practice Location

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