Individual
DR. BRENDA BALLANTINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
120 MERRIMACK WAY, ARNOLD, MD 21012-2579
(757) 409-1565
Mailing address
120 MERRIMACK WAY, ARNOLD, MD 21012-2579
(757) 409-1565
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
23001
MD
Other
Enumeration date
03/20/2015
Last updated
11/17/2020
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