Individual
SANDRA F BALBINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1990 BOSTON RD, WILBRAHAM, MA 01095-1102
(413) 543-8256
(413) 543-8287
Mailing address
PO BOX 25, WILBRAHAM, MA 01095-0025
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
23139
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NONE
NONE
—
Enumeration date
11/30/2020
Last updated
11/30/2020
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