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1992867303
DOUGLAS ALAN BALOG
MOORESVILLE, NC
NPI
1992867303
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
183500000X Pharmacist
(Licence: NC 12965)
Enumeration Date
2006-12-14
Last Update Date
2007-07-08
Business Address
Mr. DOUGLAS ALAN BALOG BS Pharmacy
292 CHANDELEUR DR
MOORESVILLE, NC 28117-4600
Phone number: 704-660-1640
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Mailing Address
Mr. DOUGLAS ALAN BALOG BS Pharmacy
292 CHANDELEUR DR
MOORESVILLE, NC 28117-4600
Phone number: 704-660-1640
Copy
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