Individual
DR. BRENDAN GENE BALLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
1534 CAPE CORAL PKWY W, CAPE CORAL, FL 33914-6953
(239) 541-2035
Mailing address
208 NE 23RD PL, CAPE CORAL, FL 33909-2814
(214) 636-9520
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PS51007
FL
Other
Enumeration date
04/07/2020
Last updated
04/07/2020
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