MARY S BALLOGG

LUKE AFB, AZ
NPI1699768390
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
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