Individual
NICOLETTE PHOEBE BALLAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
99 W MAIN ST, WESTMINSTER, MD 21157-4800
(410) 848-5980
Mailing address
2320 RIVER MIST DR, FINKSBURG, MD 21048-1738
(410) 876-9943
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
10313
MD
Other
Enumeration date
04/26/2007
Last updated
07/08/2007
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