Individual
PRANAV BALANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1024 NORTH AVE, BURLINGTON, VT 05408-2753
(802) 865-7822
Mailing address
1024 NORTH AVE, BURLINGTON, VT 05408-2753
(802) 865-7822
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
033.0058925
VT
Other
Enumeration date
05/16/2011
Last updated
05/16/2011
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