Individual
DR. ATHELIA BALAMS EZE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Contact information
Practice address
105 STRANGE RD, STARKVILLE, MS 39759-2539
(662) 323-5033
(662) 323-4409
Mailing address
105 STRANGE RD, STARKVILLE, MS 39759-2539
(662) 323-3503
(662) 323-4409
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
T-09285
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
07064/01.1
RETALIL COMMUNITY PHARMCY
MS
Enumeration date
08/02/2006
Last updated
07/14/2008
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