Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Blast Pharma Inc

Organization Community/Retail Pharmacy · NPI 1972270932

Blast Pharma Inc is a Community/Retail Pharmacy in Anaheim, California. Registered with an NPI since 2021.

In the registry since
2021
Specialties on file
2
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1721 W Katella Ave Ste J
Anaheim, CA 92804-8100
Phone: (714) 733-7879
Fax: (714) 733-7969
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community/Retail Pharmacy (primary) Taxonomy 3336C0003X
Long Term Care Pharmacy Taxonomy 3336L0003X

Record details

NPI number1972270932
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mohamed Hussein — Ceo · (714) 733-7978
Other names Blast Pharmacy; Blast Pharmacy
NPI enumeratedAugust 26, 2021
Last updated in NPPESJune 6, 2024
Certification dateJune 6, 2024
Mailing address1721 W Katella Ave Ste J, Anaheim, CA 92804-8100

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