Provider Demographics
NPI:1508405911
Name:BLANCHARD'S PHARMACY, INC.
Entity Type:Organization
Organization Name:BLANCHARD'S PHARMACY, INC.
Other - Org Name:BLANCHARD'S PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PIC / OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:TROHN
Authorized Official - Middle Name:P
Authorized Official - Last Name:BLANCHARD
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:225-638-7550
Mailing Address - Street 1:169 E MAIN ST
Mailing Address - Street 2:
Mailing Address - City:NEW ROADS
Mailing Address - State:LA
Mailing Address - Zip Code:70760-3505
Mailing Address - Country:US
Mailing Address - Phone:225-638-7550
Mailing Address - Fax:225-638-7300
Practice Address - Street 1:169 E MAIN ST
Practice Address - Street 2:
Practice Address - City:NEW ROADS
Practice Address - State:LA
Practice Address - Zip Code:70760-3505
Practice Address - Country:US
Practice Address - Phone:225-638-7550
Practice Address - Fax:225-638-7300
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-01-02
Last Update Date:2021-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy