Samra, Frederick Blabagno
Samra, Frederick Blabagno is an individual health care provider with primary practice located at 79795 Highway 111 , La Quinta CA 92253-4756. He recently has 2 registered licenses in different health care specialties including Pharmacy Service Providers / Pharmacist, Pharmacy Service Providers / Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist. Pharmacy Service Providers / Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist is his primary health care specialty. Samra, Frederick Blabagno can be contacted via phone (760) 775-0363.Contact Information
Primary practice address
79795 Highway 111
La Quinta CA 92253-4756
Phone: (760) 775-0363
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Pharmacy Service Providers / Pharmacist | 183500000X | PHA.0022894 | Colorado |
| Pharmacy Service Providers / Pharmacist | 183500000X | 20239 | Nevada |
| Pharmacy Service Providers / Pharmacist | 183500000X | 81761 | California |
| Pharmacy Service Providers / Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | 81761 | California |
Profile Details
| NPI number | 1831733294 |
|---|---|
| LBN Legal business name | Samra, Frederick Blabagno |
| Credentials | PHARMD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 29th, 2019 |
| Last updated | May 27th, 2021 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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