Individual
BALLARD KIRK SAUL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3200 PROVIDENCE DR, ANCHORAGE, AK 99508-4615
(907) 212-4814
Mailing address
3001 WIDGEON LN APT 6, ANCHORAGE, AK 99508-4652
Taxonomy
Speciality
Code
Description
License number
State
1835P1200X
Pharmacotherapy Pharmacist
Primary
62735
TX
Other
Enumeration date
06/12/2019
Last updated
01/15/2022
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