Terry Lynn Blasingame
Individual provider Active NPI Pharmacist · Lake Arrowhead, CA
NPI 1609329010 · NPPES record last updated Aug 2, 2016
Key facts
- NPI
- 1609329010
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 32758 (CA)
- Practice address
- 28200 Highway 189 # N150
Lake Arrowhead, CA 92352-9700 - Phone
- (909) 336-3999
- Fax
- (909) 336-3997
- NPI assigned
- Aug 2, 2016
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 32758 | CA | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 32758 | CA | Yes |
Addresses
Primary practice location
28200 Highway 189 # N150
Lake Arrowhead, CA 92352-9700
Mailing address
PO Box 167
Lake Arrowhead, CA 92352-0167
Phone (909) 336-3999
Other providers in Lake Arrowhead, CA
- Don Gary Batten
- Sean K Benggon
- Hugh A. Bialecki
- Larry John Biederman
- Amie Marion Black
- Blue Jay Recovery Inc
- Shellie Mundall Boydston
- Kieth J Burkart
- Carolyn Burnham
- Heather Rachelle Byrd
All providers in Lake Arrowhead, CA · Pharmacist in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 2, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.