SAMMY DALE BALLENGER

OROVILLE, CA
NPI1851647994
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy183500000X Pharmacist
(Licence: CA  43573)
Enumeration Date2012-07-26
Last Update Date2012-07-26
Business Address
Mr. SAMMY DALE BALLENGER rph
6073 KANAKA AVE
OROVILLE, CA 95966-3920
Phone number: 530-589-5687
Mailing Address
Mr. SAMMY DALE BALLENGER rph
6073 KANAKA AVE
OROVILLE, CA 95966-3920
Phone number: 530-589-5687