Individual
MS. NANCY LEOTA BALEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
SKY LAKES OUTPATIENT PHARMACY, 2865 DAGGETT STREET, KLAMATH FALLS, OR 97601
(541) 274-3490
(541) 274-3495
Mailing address
P.O. BOX 531, MERRILL, OR 97633
(541) 891-1632
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
6539
OR
Other
Enumeration date
08/03/2018
Last updated
08/03/2018
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