Individual
KAITLIN BALLEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
1325 W MAIN ST, CABOT, AR 72023-2458
(501) 941-3131
(501) 941-3137
Mailing address
1207 WALROSE CIR, SEARCY, AR 72143-9567
(618) 339-2693
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PD15820
AR
Other
Enumeration date
06/30/2021
Last updated
06/30/2021
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