Provider Demographics
NPI:1407314636
Name:BLANCHARD, ZACHARY E (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:ZACHARY
Middle Name:E
Last Name:BLANCHARD
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11660 W EXECUTIVE DR
Mailing Address - Street 2:
Mailing Address - City:BOISE
Mailing Address - State:ID
Mailing Address - Zip Code:83713-8996
Mailing Address - Country:US
Mailing Address - Phone:208-323-0303
Mailing Address - Fax:208-375-3916
Practice Address - Street 1:11660 W EXECUTIVE DR
Practice Address - Street 2:
Practice Address - City:BOISE
Practice Address - State:ID
Practice Address - Zip Code:83713-8996
Practice Address - Country:US
Practice Address - Phone:208-323-0303
Practice Address - Fax:208-375-3916
Is Sole Proprietor?:No
Enumeration Date:2019-03-06
Last Update Date:2022-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IDE45234183500000X
IDP9380183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist