Individual
BETH BALOG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
513 ARDEN RD, COLUMBUS, OH 43214
(614) 599-7763
Mailing address
513 ARDEN RD, COLUMBUS, OH 43214-3705
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
03132169
OH
Other
Enumeration date
07/25/2017
Last updated
07/25/2017
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