Provider Demographics
NPI:1891461885
Name:BLINK RX LLC
Entity Type:Organization
Organization Name:BLINK RX LLC
Other - Org Name:BLINKRX
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EVP, CLOUD AND SPECIALTY PHARMACY
Authorized Official - Prefix:MR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:NAMETH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:412-266-5515
Mailing Address - Street 1:12639 W EXPLORER DR STE 100
Mailing Address - Street 2:
Mailing Address - City:BOISE
Mailing Address - State:ID
Mailing Address - Zip Code:83713-1615
Mailing Address - Country:US
Mailing Address - Phone:208-214-8961
Mailing Address - Fax:
Practice Address - Street 1:12639 W EXPLORER DR STE 100
Practice Address - Street 2:
Practice Address - City:BOISE
Practice Address - State:ID
Practice Address - Zip Code:83713-1615
Practice Address - Country:US
Practice Address - Phone:208-214-8961
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-08-19
Last Update Date:2024-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
IDRDO74435OtherBOARD OF PHARMACY