Bradley Balestra

NPI #1932554268 in Moundsville, West Virginia

Provider Information

NPI Number: 1932554268
Entity Type: Individual
Name: Bradley Balestra
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Enumeration Date: Apr 23, 2016
Last Updated: Apr 23, 2016

Practice Location

Address: 1212 LAFAYETTE AVE
City: Moundsville
State: West Virginia
ZIP Code: 26041-2315
Phone: (304) 845-8116

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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