Ballentine Pharmacy Inc

NPI 1366440612 - Pharmacy - 333600000X

NPI Details
NPI 1366440612
Enumeration Date 07/11/2005
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 11 years ago
Authorized Information
Name JOAN JOAN
Position OWNER
Phone (810) 376-2825
Fax (810) 376-8355
Practice Location
3482 MAIN ST
DECKERVILLE MI, 48427-9633, US
Phone (810) 376-2825
Fax (810) 376-8355
Business Location
3482 MAIN ST
PO BOX 67
DECKERVILLE MI, 48427-9633, US
Phone
Fax
Toxanomy
Taxonomy Code 333600000X
License State Michigan
License Number 5301000086
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According to our database, Ballentine Pharmacy Inc NPI is 1366440612, taxonomy code is 333600000X and license number is 5301000086, license state is located at Michigan. Ballentine Pharmacy Inc physically located at 3482 Main St, Deckerville MI, 48427-9633. NPI Number 1033115704 has the healthcare provider type.

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1366440612 NPI number is provided on an as is basis without warranty of any kind. 1366440612 is maintained by the National Plan & Provider Enumeration System. The contents of Ballentine Pharmacy Inc are for informational purposes only.