NPI | 1912889320 |
---|---|
Former Legal Business Name | BALANCE PHARMACY SERVICES LLC |
Entity Type | Organization |
Authorized Contact | JONATHAN HAUG President 317-276-2000 |
Organization Subpart ? | No |
Primary Taxonomy | 333600000X Pharmacy |
Enumeration Date | 2025-07-24 |
Last Update Date | 2025-07-24 |