Individual
DR. MICHAEL DEREK BALLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
3980 DIXIE HWY, LOUISVILLE, KY 40216-4144
(502) 447-4232
Mailing address
3980 DIXIE HWY, LOUISVILLE, KY 40216-4004
(502) 836-9336
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
011672
KY
Other
Enumeration date
10/06/2011
Last updated
10/06/2011
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