Individual
JUSTIN TYLER BLANCHARD-QUINTANAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CPHT
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
30080943
CO
183700000X
Pharmacy Technician
Primary
PHAT.0000021
CO
Other
Enumeration date
06/23/2022
Last updated
06/29/2022
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