Individual provider · Type 1 NPI

Blaze Justin Calderon

Pharmacist · Greenwood, AR

NPI number 1881287266 Active

Practice location

551 Liberty Dr
Greenwood, AR 72936-6001

Mailing address

8036 Massard Rd
Fort Smith, AR 72916-7030

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000XPD15469 (AR)

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 1881287266

Blaze Justin Calderon's National Provider Identifier is 1881287266, issued on Feb 16, 2021. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Greenwood, AR. The record was last updated on Feb 16, 2021.