Individual
GRACE BALLINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
601 E DUPONT RD, FORT WAYNE, IN 46825-2055
(260) 637-6115
Mailing address
15341 BEARS BREECH CT, HUNTERTOWN, IN 46748-9152
(260) 571-8029
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26029306A
IN
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
26029306A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
26029306A
LICENSE NUMBER
IN
Enumeration date
10/01/2021
Last updated
05/31/2026
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