Taci Ball, RPH

NPI #1497057392 in Bemidji, Minnesota

Provider Information

NPI Number: 1497057392
Entity Type: Individual
Name: Taci Ball, RPH
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Credential: RPH
Enumeration Date: Nov 27, 2010
Last Updated: Nov 27, 2010

Practice Location

Address: 200 PAUL BUNYAN DR S
City: Bemidji
State: Minnesota
ZIP Code: 56601-3241
Phone: (218) 751-8063

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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