Individual
GRACE BALLINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
2718 GUILFORD ST, HUNTINGTON, IN 46750-9701
(260) 358-1506
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
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
26029306A
LICENSE NUMBER
IN
Enumeration date
10/01/2021
Last updated
08/24/2023
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