Leo R Blais, R.PH Valid NPI
Individual provider · Pharmacist · East Hartford, CT
- NPI
- 1306405402
- Type
- Individual (Type 1)
- Primary specialty
- Pharmacist
- Specialty group
- Pharmacy Service Providers
- Taxonomy code
- 183500000X
- License number
- PCT.0014719 (CT)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2019-06-12
- Last updated
- 2024-04-18
Practice location
1137 Main St
East Hartford, CT 06108-2236
(602) 169-0778