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Leo R Blais, R.Ph

Pharmacist in East Hartford, CT. Individual provider (NPI-1).

NPI number1306405402
StatusActive
Last updated in NPPESApr 18, 2024

Details

NPI
1306405402
Entity type
Individual (NPI-1)
Name
Mr. Leo R Blais
Credential
R.Ph
Sex
Male
Sole proprietor
No
Enumeration date
Jun 12, 2019
Certification date
Apr 18, 2024
Last updated
Apr 18, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
183500000X Pharmacistpct.0014719CTYes
183500000X PharmacistRPH02605RI

Practice location

1137 Main St
East Hartford, CT 06108-2236

Phone 602-169-0778 · Fax 860-310-3294

Mailing address

40 Bank St
Coventry, RI 02816-6162

Phone 401-639-4903

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