Dennis Paul Blanchard II, RPH
Individual provider Active NPI Pharmacist · Independence, LA
NPI 1225283286 · NPPES record last updated Nov 18, 2008
Key facts
- NPI
- 1225283286
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 14894 (LA)
- Practice address
- 52579 Highway 51 S
Independence, LA 70443-2231 - Phone
- (985) 878-9421
- NPI assigned
- Nov 18, 2008
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14894 | LA | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 14894 | LA | Yes |
Addresses
Primary practice location
52579 Highway 51 S
Independence, LA 70443-2231
Mailing address
52579 Highway 51 S
Independence, LA 70443-2231
Phone (985) 878-9421
Other providers in Independence, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 18, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.