Lorraine Balog

NPI 1053369256 - Pharmacist - 183500000X

NPI Details
NPI 1053369256
Gender Female
Enumeration Date 05/04/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
1601 BRENNER AVE
SALISBURY NC, 28144-2515, US
Phone (704) 638-9000
Fax
Business Location
292 CHANDELEUR DR
MOORESVILLE NC, 28117-4600, US
Phone (704) 638-9000
Fax
Toxanomy
Taxonomy Code 183500000X
License State North Carolina
License Number 13079
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According to our database, Lorraine Balog NPI is 1053369256, taxonomy code is 183500000X and license number is 13079, license state is located at North Carolina. Lorraine Balog physically located at 1601 Brenner Ave, Salisbury NC, 28144-2515. NPI Number Lorraine Balog has the Individual type.

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1053369256 NPI number is provided on an as is basis without warranty of any kind. 1053369256 is maintained by the National Plan & Provider Enumeration System. The contents of Lorraine Balog are for informational purposes only.