MILDALY BLANCO PHARMD
NPI 1568123545
Pharmacist in Commerce, GA

Active since January 03, 2022
2100 N BROAD ST, COMMERCE, GA 30529(706) 336-5931(706) 336-8092 Get Directions Write a Review

NPPES record last updated: December 22, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 22, 2022, Jan 3, 2022 (2 updates tracked since 2022).

About Mildaly Blanco Pharmd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MILDALY BLANCO PHARMD (NPI 1568123545) is an individual pharmacist in Commerce, Georgia, licensed in Georgia (RPH033430) and active in the NPI registry since January 2022.

NPPES Registry Identity

NPI1568123545
Entity TypeIndividualFemale
Primary Taxonomy183500000X
Provider Legal NameMILDALY BLANCOCredential: PHARMD
Location Address2100 N BROAD STCommerce, GA 30529-1700
Mailing Address742 Teal CtLawrenceville, GA 30043-3299 · (470) 372-7779
Fax(706) 336-8092
Sole ProprietorNo
Enumeration DateJanuary 3, 2022
Last NPPES UpdateDecember 22, 20222 updates tracked since enumeration
NPPES CertifiedDecember 22, 2022
NPI 1568123545 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License Licensed in GA · RPH033430
Definition
An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.
2100 N BROAD ST, Commerce, GA 30529

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pharmacist
2100 N BROAD ST
COMMERCE, GA 30529
Pharmacy
2100 N BROAD ST
COMMERCE, GA 30529
Pharmacist
2100 N BROAD ST
COMMERCE, GA 30529
Pharmacist
2100 N BROAD ST
COMMERCE, GA 30529
Pharmacist
2100 N BROAD ST
COMMERCE, GA 30529

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mildaly Blanco's NPI number?

The NPI number for Mildaly Blanco is 1568123545. It was assigned to this individual provider in the NPPES registry on January 3, 2022.

Where is Mildaly Blanco located?

Mildaly Blanco practices at 2100 N Broad St, Commerce, GA 30529. The listed phone number is (706) 336-5931.

What is Mildaly Blanco's specialty?

The primary specialty registered for this NPI is Pharmacist with taxonomy code 183500000X.

When was this NPI record last updated?

The NPPES record for Mildaly Blanco was last updated on December 22, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.