Provider Demographics
NPI:1295221661
Name:PLAZA, BLANCA Y (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:BLANCA
Middle Name:Y
Last Name:PLAZA
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9615 DRUMMOND CLIFF LN
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77064-4636
Mailing Address - Country:US
Mailing Address - Phone:832-607-7145
Mailing Address - Fax:
Practice Address - Street 1:5503 FRY RD STE 100
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77449-5845
Practice Address - Country:US
Practice Address - Phone:713-982-7071
Practice Address - Fax:713-982-7081
Is Sole Proprietor?:No
Enumeration Date:2018-07-09
Last Update Date:2023-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX613031835P2201X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P2201XPharmacy Service ProvidersPharmacistAmbulatory Care