Individual
SARAH ROSS BALBEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
1080 W 8750 N, TETONIA, ID 83452-4877
(307) 733-9768
(307) 733-3528
Mailing address
1080 W 8750 N, TETONIA, ID 83452-4877
(307) 733-9768
(307) 733-3528
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
2242
WY
Other
Enumeration date
03/03/2010
Last updated
03/03/2010
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