| NPI | 1669248399 |
|---|---|
| Doing Business As | BALLENGER ROAD PHARMACY |
| Entity Type | Organization |
| Authorized Contact | HASMUKHKUMAR PATEL Member 810-820-7039 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2023-12-04 |
| Last Update Date | 2024-02-21 |