Individual
AMANDA MARIE BALES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
1515 W PARADISE DR, WEST BEND, WI 53095-9794
(262) 334-9860
(262) 334-4631
Mailing address
1515 W PARADISE DR, WEST BEND, WI 53095-9794
(262) 334-9860
(262) 334-4631
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
21101-40
WI
Other
Enumeration date
11/22/2021
Last updated
11/22/2021
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