Individual
DR. MICHELL BALANDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD, BCPS
Contact information
Practice address
7377 ALCOA RD, T-2204, BRYANT, AR 72022-6204
(501) 776-4361
Mailing address
7377 ALCOA RD, T-2204, BRYANT, AR 72022-6204
(501) 776-4361
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PD11901
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
161991407
—
AR
Enumeration date
08/06/2012
Last updated
08/06/2012
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