Individual
NANCY ANN BALCERAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
789 STATE ROAD 39 BYP S, MARTINSVILLE, IN 46151-2127
(765) 342-2121
Mailing address
5865 PARADISE DR, MARTINSVILLE, IN 46151-8463
(317) 422-9030
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26016626A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
26016626A
INDIANA BOARD OF PHARMACY
IN
Enumeration date
10/31/2019
Last updated
10/31/2019
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