Individual
MR. EDWIN G. BLANCHE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
705 PLANK ROAD, SAINT JOSEPH, LA 71366
(318) 766-4563
(318) 766-4522
Mailing address
PO BOX 5, SAINT JOSEPH, LA 71366-0005
(318) 766-4563
(318) 766-4522
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
10263
LA
Other
Enumeration date
07/27/2012
Last updated
07/27/2012
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