Individual
MRS. ELLEN DARNELL BALTZELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM-D
Contact information
Practice address
5100 HIGHWAY 39 N, MERIDIAN, MS 39301-1023
(601) 485-0818
(601) 485-0534
Mailing address
8203 RESERVOIR RD, COLLINSVILLE, MS 39325-9030
(601) 938-2030
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
E-09204
MS
Other
Enumeration date
11/08/2006
Last updated
07/08/2007
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