NPI 1194397026 · live from the CMS NPI Registry
Cord Blanchard
Pharmacy, Community/Retail Pharmacy in Las Vegas, NV. National Provider Identifier 1194397026, active.
NPI record
| NPI | 1194397026 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Pharmacy, Community/Retail Pharmacy 3336C0003X |
| Practice location | 8410 Farm Rd, Las Vegas, NV 89131 |
| Practice phone | 702-658-6669 |
| Mailing address | 4504 Yellow Harbor St, Las Vegas, NV 89129 |
| Enumerated | July 12, 2021 |
| Last updated | July 12, 2021 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pharmacy, Community/Retail Pharmacy primary | 3336C0003X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.