Mr Mallory Orlando Blake, RPH - Pharmacist in Moreno Valley, CA

Mr Mallory Orlando Blake, RPH is a Pharmacist based in Moreno Valley, California. Mr Mallory Orlando Blake is licensed to practice in California (license number 58423) and his current practice location is 26520 Cactus Ave, Moreno Valley, California. He can be reached at his office (for appointments etc.) via phone at (951) 486-4506.

NPI number for Mr Mallory Orlando Blake is 1467743849 and his current mailing address is 345 S Cloverdale Ave Apt 205, Los Angeles, California. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1467743849.

Contact Information

Mr Mallory Orlando Blake, RPH
26520 Cactus Ave,
Moreno Valley, CA 92555-3927
(951) 486-4506
Not Available

Healthcare Provider's Profile

Full NameMr Mallory Orlando Blake
GenderMale
SpecialityPharmacist
Location26520 Cactus Ave, Moreno Valley, California
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1467743849
  • Provider Enumeration Date: 04/20/2011
  • Last Update Date: 04/20/2011

Medical Identifiers

Medical identifiers for Mr Mallory Orlando Blake such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1467743849NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
183500000XPharmacist 58423 (California)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Mallory Orlando Blake is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mr Mallory Orlando Blake, RPH
345 S Cloverdale Ave Apt 205,
Los Angeles, CA 90036-3409

Ph: (323) 933-3006
Mr Mallory Orlando Blake, RPH
26520 Cactus Ave,
Moreno Valley, CA 92555-3927

Ph: (951) 486-4506

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› Verified 6 days ago


Pharmacist in Moreno Valley, CA

Osama Bishay, RPH
Pharmacist
Medicare: Not Enrolled in Medicare
Practice Location: 24991 Alessandro Blvd, Moreno Valley, CA 92553
Phone: 951-485-4450    
Dr. Thu Kieu Nguyen Huynh, PHARM.D.
Pharmacist
Medicare: Not Enrolled in Medicare
Practice Location: 26520 Cactus Ave, Moreno Valley, CA 92555
Phone: 951-486-4613    
Hong My Lam,
Pharmacist
Medicare: Not Enrolled in Medicare
Practice Location: 12275 Perris Blvd, Moreno Valley, CA 92557
Phone: 951-242-8717    
Grace Shinn,
Pharmacist
Medicare: Not Enrolled in Medicare
Practice Location: 26520 Cactus Ave, Moreno Valley, CA 92555
Phone: 951-486-4000    
Dr. Chi Wah Simon Chou, PHARMD
Pharmacist
Medicare: Not Enrolled in Medicare
Practice Location: 25011 Alessandro Blvd, Moreno Valley, CA 92553
Phone: 951-485-1116    
Oksana Niknafs, PHARM.D.
Pharmacist
Medicare: Not Enrolled in Medicare
Practice Location: 26520 Cactus Ave, Moreno Valley, CA 92555
Phone: 951-486-4515    
Dr. Linda Tang Ortega, PHARM.D.
Pharmacist
Medicare: Not Enrolled in Medicare
Practice Location: 23965 Ironwood Ave, Moreno Valley, CA 92557
Phone: 951-242-1742    Fax: 951-242-7291

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