Ballin Pharmacy Ltc INC

NPI #1124261151 in Chicago, Illinois

Provider Information

NPI Number: 1124261151
Entity Type: Organization
Organization Name: Ballin Pharmacy Ltc INC
Primary Specialty: Pharmacy
Enumeration Date: Apr 7, 2009
Last Updated: Apr 7, 2009

Practice Location

Address: 3330 N LINCOLN AVE STE B
City: Chicago
State: Illinois
ZIP Code: 60657-1108
Phone: (773) 348-0027

Authorized Official

Name: WM MATTSON
Title: OWNER RPH
Phone: (773) 348-0027

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacy	333600000X	Primary

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