Individual
DANIEL B BALLING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
5 BAYBERRY CT, NANTUCKET, MA 02554-4057
(508) 825-9100
(508) 825-2154
Mailing address
66 FAIRGROUNDS RD, NANTUCKET, MA 02554-2804
(508) 228-7495
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
20362
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
20362
RPH LICENSE
MA
Enumeration date
11/14/2006
Last updated
07/08/2007
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