Individual
JAMES M BLANCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
10732 MARTINIQUE LN, CROWN POINT, IN 46307-9448
(219) 663-4557
Mailing address
10732 MARTINIQUE LN, CROWN POINT, IN 46307-9448
(219) 663-4557
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26013507
IN
Other
Enumeration date
12/15/2011
Last updated
12/15/2011
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