Individual
ANDREW THOMAS BLANCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
3918 KEESHEN DR, LOS ANGELES, CA 90066-4509
(310) 420-1053
Mailing address
1625 SCHRADER BLVD, LOS ANGELES, CA 90028-6213
(323) 993-7513
(323) 308-4444
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
86355
CA
Other
Enumeration date
10/19/2022
Last updated
09/28/2024
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