Individual
MR. BERT BLANCHARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
R.PH
Contact information
Practice address
6473 HIGHWAY 44 STE 101, GONZALES, LA 70737-8179
(225) 257-1009
(225) 257-1017
Mailing address
6431 HIGHWAY 44, GONZALES, LA 70737-8158
(225) 257-1009
(225) 257-1017
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
016926
LA
Other
Enumeration date
09/28/2015
Last updated
05/09/2019
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