Organization
BALLOU PHARMACEUTICAL SERVICES INC
Active
Other names
BALLOU PHARMACEUTICAL
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELA BALLOU (PRESIDENT PHARMACIST)
(615) 688-6336
Entity
Organization
Contact information
Practice address
207 HIGHWAY 52 BYP W, LAFAYETTE, TN 37083-1728
(615) 688-6336
(615) 688-6338
Mailing address
207 HIGHWAY 52 BYP W, LAFAYETTE, TN 37083-1728
Taxonomy
Speciality
Code
Description
License number
State
3336C0004X
Compounding Pharmacy
Primary
—
—
3336L0003X
Long Term Care Pharmacy
3660
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4434988
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
11/15/2006
Last updated
09/11/2025
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