Organization
BLANCHARD, INC
Active
Other names
Direct Diabetes Supply
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SIMONE BLANCHARD (PRESIDENT)
(480) 998-5551
Entity
Organization
Contact information
Practice address
13402 N SCOTTSDALE RD, STE A125, SCOTTSDALE, AZ 85254-4054
(480) 998-5551
(480) 998-5247
Mailing address
13402 N SCOTTSDALE RD, STE A125, SCOTTSDALE, AZ 85254-4054
(480) 998-5551
(480) 998-5247
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
01011146
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0000A8177
—
NM
05
—
0522813
—
IA
05
—
1567507
—
LA
05
—
2194067
—
OH
05
—
35179856
—
CO
05
—
459017
—
AZ
05
—
7703167
—
NC
05
—
90003385
—
KY
05
—
XDME01858
—
CA
Enumeration date
05/11/2006
Last updated
08/22/2020
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