Individual
HEATHER BALK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
3003 N 3RD ST, PHOENIX, AZ 85012-3031
(602) 282-9808
Mailing address
5380 S MARIPOSA DR, GILBERT, AZ 85298-0365
(602) 541-8019
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
S015596
AZ
Other
Enumeration date
03/29/2010
Last updated
01/25/2015
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