Individual
CORD BLANCHARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
8410 FARM RD, LAS VEGAS, NV 89131-8158
(702) 658-6669
Mailing address
4504 YELLOW HARBOR ST, LAS VEGAS, NV 89129-3251
(406) 799-0401
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
07/12/2021
Last updated
07/12/2021
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