Individual
MRS. SUZANNE RUTH BALLENGEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.PH.
Contact information
Practice address
4040 N NEWTON ST, JASPER, IN 47546-2575
(812) 634-1777
(812) 634-9810
Mailing address
201 N BIRDIE LN, MONTGOMERY, IN 47558-5756
(812) 259-5900
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26019513A
IN
Other
Enumeration date
07/17/2019
Last updated
11/27/2023
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