JOHNI J BALLOUT

SAN DIEGO, CA
NPI1881150944
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy183500000X Pharmacist
(Licence: CA  80300)
Enumeration Date2019-02-13
Last Update Date2019-02-13
Business Address
JOHNI J BALLOUT
313 WASHINGTON ST
SAN DIEGO, CA 92103-2109
Phone number: 619-291-7170
Mailing Address
JOHNI J BALLOUT
1736 STATE ST # 437
SAN DIEGO, CA 92101-2513
Phone number: 619-394-4166
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