Individual provider · Type 1 NPI

Mallory Orlando Blake, R.PH.

Pharmacist · Moreno Valley, CA

NPI number 1467743849 Active

Practice location

26520 Cactus Ave
Moreno Valley, CA 92555-3927

Mailing address

345 S Cloverdale Ave Apt 205
Los Angeles, CA 90036-3409

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000X58423 (CA)

Pharmacist: An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage…

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About NPI 1467743849

Mallory Orlando Blake, R.PH.'s National Provider Identifier is 1467743849, issued on Apr 20, 2011. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Moreno Valley, CA. The record was last updated on Apr 20, 2011.