Individual
AUSTIN L BALLENGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2110 OAKWOOD AVE NW, HUNTSVILLE, AL 35810-4436
(256) 539-5136
Mailing address
2110 OAKWOOD AVE NW, HUNTSVILLE, AL 35810-4436
(256) 539-5136
Taxonomy
Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
23723
AL
390200000X
Student in an Organized Health Care Education/Training Program
—
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Other
Enumeration date
01/27/2022
Last updated
08/08/2024
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