Angela Balascak R.PH., CGP

NPI 1750534269 - Pharmacist - 183500000X

NPI Details
NPI 1750534269
Gender Female
Enumeration Date 10/28/2008
Last Updated 05/31/2011
Entity Type Individual
Active Over 8 years ago
Practice Location
1000 FIANNA WAY
FORT SMITH AR, 72919-6987, US
Phone (651) 260-8461
Fax
Business Location
4663 PINE CONE CIR
EAGAN MN, 55123-5401, US
Phone (651) 260-8461
Fax
Toxanomy
Taxonomy Code 183500000X
License State Texas
License Number 43048
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According to our database, Mrs. Angela Balascak R.PH., CGP NPI is 1750534269, taxonomy code is 183500000X and license number is 43048, license state is located at Texas. Angela Balascak R.PH., CGP physically located at 1000 Fianna Way, Fort Smith AR, 72919-6987. NPI Number Angela Balascak R.PH., CGP has the Individual type.

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1750534269 NPI number is provided on an as is basis without warranty of any kind. 1750534269 is maintained by the National Plan & Provider Enumeration System. The contents of Angela Balascak R.PH., CGP are for informational purposes only.