Individual
MRS. DANIELLE BALLENTINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
235 MAIN ST, NORWALK, CT 06851-2720
(203) 845-8767
Mailing address
235 MAIN ST, NORWALK, CT 06851-2720
(203) 845-8767
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
7921
CT
Other
Enumeration date
12/04/2011
Last updated
12/04/2011
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