| NPI | 1124261151 |
|---|---|
| Doing Business As | BALLIN PHARMACY LTC INC |
| Entity Type | Organization |
| Authorized Contact | WM MATTSON Owner Rph 773-348-0027 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy |
| Enumeration Date | 2009-04-07 |
| Last Update Date | 2009-04-07 |