Individual
MR. CLIFFORD KEITH BALCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
99 E STATE ST, GLOVERSVILLE, NY 12078-1203
(518) 773-5577
Mailing address
114 ECHO HILL RD, GLOVERSVILLE, NY 12078-6018
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
27370
NY
Other
Enumeration date
11/28/2006
Last updated
07/08/2007
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