Individual
JAY C BLANCHARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
W156N11261 PILGRIM RD, GERMANTOWN, WI 53022-3420
(262) 253-9720
(262) 253-1734
Mailing address
4535 W MIDLAND DR, MILWAUKEE, WI 53219-4841
(414) 541-6324
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
10497-40
WI
Other
Enumeration date
11/16/2011
Last updated
11/16/2011
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