Samuel Randolph Ballengee, PHARMD

NPI #1508985599 in Williamson, West Virginia

Provider Information

NPI Number
1508985599
Entity Type
Individual
Name
Samuel Randolph Ballengee, PHARMD
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Pharmacist
Credential
PHARMD
Enumeration Date
Mar 28, 2007
Last Updated
Jul 8, 2007

Practice Location

Address
54 W 2ND AVE
ZIP Code
25661-3506
Phone
(304) 475-0080

Specialties & Taxonomy Codes

Specialty
Pharmacist

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