IndividualActive
A Blossom, RPH
NPI 1396045886 · Pharmacist · Grants Pass, OR
Provider details
- NPI number
- 1396045886
- Entity type
- Individual
- Primary specialty
- PharmacistPharmacy Service Providers
- Credential
- RPH
- Sex
- Male
- Sole proprietor
- No
- License
- 8939 (OR)
Practice location
115 Se 7th St
Grants Pass, OR 97526-3051
Phone: (541) 956-7546
Fax: (541) 956-7548
Mailing address
115 Se 7th St
Grants Pass, OR 97526-3051
Registry dates
- Enumerated
- 2010-10-29
- Last updated
- 2010-10-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.