Wellformed AI

NPI 1457740037 · live from the CMS NPI Registry

David Blossom, PharmD

Pharmacist in Soldotna, AK. National Provider Identifier 1457740037, active.

NPI record

NPI1457740037 Type 1 · individual
StatusActive
Primary specialtyPharmacist 183500000X
Practice location299 N Binkley St, Soldotna, AK 99669
Practice phone907-262-3800
Mailing address22525 Julie Dr, Kasilof, AK 99610
EnumeratedJanuary 20, 2015
Last updatedJanuary 20, 2015
Sole proprietorYes

Taxonomies and licenses

TaxonomyCodeLicense
Pharmacist primary183500000X2282 (AK)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.