Individual
NORMAN BALLIET
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMACIST
Contact information
Practice address
1414 16TH ST, CENTRAL CITY, NE 68826-1812
(308) 946-3859
(308) 946-3850
Mailing address
1414 16TH ST, CENTRAL CITY, NE 68826-1812
(308) 946-3859
(308) 946-3850
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
8204
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
47075580501
—
NE
Enumeration date
10/19/2006
Last updated
12/23/2020
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