Individual
MRS. ANGELA BALASCAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.PH., CGP
Contact information
Practice address
1000 FIANNA WAY, FORT SMITH, AR 72919-6987
(651) 260-8461
Mailing address
4663 PINE CONE CIR, EAGAN, MN 55123-5401
(651) 260-8461
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
118486
MN
183500000X
Pharmacist
43048
TX
Other
Enumeration date
10/28/2008
Last updated
05/31/2011
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