Individual
MR. ROBERT SHANE BALLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
4201 UNIVERSITY BLVD E, TUSCALOOSA, AL 35404-4403
(205) 553-9477
(205) 553-9773
Mailing address
1240 MANORA ESTATES LN, TUSCALOOSA, AL 35405-8708
(205) 759-1983
(205) 553-9773
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
13181
AL
Other
Enumeration date
08/30/2006
Last updated
09/15/2008
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