MR. Douglas Alan Balog, BS PHARMACY
NPI #1992867303 in Mooresville, North Carolina
Provider Information
- NPI Number
- 1992867303
- Entity Type
- Individual
- Name
- MR. Douglas Alan Balog, BS PHARMACY
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Pharmacist
- Credential
- BS PHARMACY
- Enumeration Date
- Dec 14, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 292 CHANDELEUR DR
- City
- Mooresville
- State
- North Carolina
- ZIP Code
- 28117-4600
- Phone
- (704) 660-1640
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacist |
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