Provider Demographics
NPI:1770172751
Name:SANCHEZ, BLANCA ISABEL (CPHT)
Entity type:Individual
Prefix:
First Name:BLANCA
Middle Name:ISABEL
Last Name:SANCHEZ
Suffix:
Gender:F
Credentials:CPHT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:130B COUNTY ROAD 129
Mailing Address - Street 2:
Mailing Address - City:TAYLOR
Mailing Address - State:TX
Mailing Address - Zip Code:76574-5289
Mailing Address - Country:US
Mailing Address - Phone:512-430-0999
Mailing Address - Fax:512-856-9499
Practice Address - Street 1:107A EAST ST
Practice Address - Street 2:
Practice Address - City:HUTTO
Practice Address - State:TX
Practice Address - Zip Code:78634-4323
Practice Address - Country:US
Practice Address - Phone:512-846-6015
Practice Address - Fax:512-856-9499
Is Sole Proprietor?:No
Enumeration Date:2021-01-13
Last Update Date:2021-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX233907183700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183700000XPharmacy Service ProvidersPharmacy Technician