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NPI 1730174509 · live from the CMS NPI Registry

John Patrick Blazek, PharmD

Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Wailuku, HI. National Provider Identifier 1730174509, active.

NPI record

NPI1730174509 Type 1 · individual
StatusActive
Primary specialtyPharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X
Practice location221 Mahalani St, Wailuku, HI 96793
Practice phone808-221-2121
Mailing address12301 Snow Rd, Clinical Pharmacy Services, Parma, OH 44130
EnumeratedSeptember 16, 2005
Last updatedSeptember 28, 2022
Sole proprietorNo

Taxonomies and licenses

TaxonomyCodeLicense
Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist1835P0018X03-326827 (OH)
Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist1835P0018X2006025355 (MO)
Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist primary1835P0018XPH-4249 (HI)

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