Provider Demographics
NPI:1972694578
Name:BLANCHAT, ALISON CECILE (RPH)
Entity Type:Individual
Prefix:MS
First Name:ALISON
Middle Name:CECILE
Last Name:BLANCHAT
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:MRS
Other - First Name:ALISON
Other - Middle Name:BLANCHAT
Other - Last Name:ACCARDO
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:RPH
Mailing Address - Street 1:77377 HIGHWAY 21
Mailing Address - Street 2:
Mailing Address - City:COVINGTON
Mailing Address - State:LA
Mailing Address - Zip Code:70435-4015
Mailing Address - Country:US
Mailing Address - Phone:985-892-1542
Mailing Address - Fax:985-893-3735
Practice Address - Street 1:4100 HIGHWAY 59
Practice Address - Street 2:
Practice Address - City:MANDEVILLE
Practice Address - State:LA
Practice Address - Zip Code:70471-1961
Practice Address - Country:US
Practice Address - Phone:985-893-0187
Practice Address - Fax:985-893-3735
Is Sole Proprietor?:No
Enumeration Date:2006-09-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA13922183500000X
MST08676183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist