Individual
DR. ALYSSA A BALLEW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD, RPH
Contact information
Practice address
100 S AVENUE E, HASKELL, TX 79521-5711
(940) 864-2673
Mailing address
100 S AVENUE E, HASKELL, TX 79521-5711
(940) 864-2673
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
69067
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NA
NA
—
Enumeration date
09/22/2021
Last updated
09/22/2021
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