| NPI | 1245577071 |
|---|---|
| Doing Business As | BALLAD HEALTH PHARMACY |
| Entity Type | Organization |
| Authorized Contact | SHANE EDWIN HILTON EVP/CFO 423-302-3467 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: VA 0201004496) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2013-01-14 |
| Last Update Date | 2024-04-18 |