Anita L Ballou, R.PH.

NPI #1285834226 in Somerville, Massachusetts

Provider Information

NPI Number: 1285834226
Entity Type: Individual
Name: Anita L Ballou, R.PH.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Credential: R.PH.
Enumeration Date: Jul 18, 2007
Last Updated: Jul 18, 2007

Practice Location

Address: 120 BEACON ST
Address 2: SUITE 202
City: Somerville
State: Massachusetts
ZIP Code: 02143-4370
Phone: (617) 499-8382

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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