Individual
AMY ANN BALOG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM.D
Contact information
Practice address
9040 JACKSON AVE, TACOMA, WA 98431-0001
(253) 968-2586
Mailing address
9040 JACKSON AVE, TACOMA, WA 98431-0001
(253) 968-2586
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
68008
CA
Other
Enumeration date
05/28/2013
Last updated
04/30/2026
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