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NPI 1700864758 · live from the CMS NPI Registry

Andrea Boosinger Blau, Pharm.D.

Pharmacist in Tripler Amc, HI. National Provider Identifier 1700864758, active.

NPI record

NPI1700864758 Type 1 · individual
StatusActive
Primary specialtyPharmacist 183500000X
Practice location1 Jarrett White Rd, Tripler Army Medical Center, Tripler Amc, HI 96859
Practice phone808-433-2460
Mailing address1 Jarrett White Rd, Tripler Army Medical Center Attn:Mchk-Qs, Tripler Amc, HI 96859
EnumeratedJanuary 9, 2006
Last updatedJuly 13, 2026
Sole proprietorNo
Other namesAndrea Boosinger

Taxonomies and licenses

TaxonomyCodeLicense
Pharmacist183500000X11420 (TN)
Pharmacist183500000X14311 (AL)
Pharmacist primary183500000X2340 (HI)

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