MARY S BALLOGG

LUKE AFB, AZ
NPI1699768390
Entity TypeIndividual
GenderFemale
Sole Proprietor ?
Primary Taxonomy183500000X Pharmacist
(Licence: AZ  13922)
Additional Taxonomies183500000X Pharmacist
(Licence: NC  8474)
Enumeration Date2005-08-26
Last Update Date2007-07-08
Business Address
MARY S BALLOGG PHARM D
7219 N LITCHFIELD RD 56 MDSS
LUKE AFB, AZ 85309-1529
Phone number: 623-856-8464
Mailing Address
MARY S BALLOGG PHARM D
7219 N LITCHFIELD RD 56 MDSS
LUKE AFB, AZ 85309-1529
Phone number: 623-856-8464
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