Individual
EDA BALIQI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMACIST
Contact information
Practice address
35 MAIN ST, PEABODY, MA 01960-5548
(978) 977-9211
(978) 531-2808
Mailing address
35 MAIN ST, PEABODY, MA 01960-5548
(978) 977-9211
(978) 531-2808
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH239856
MA
Other
Enumeration date
06/19/2021
Last updated
06/28/2021
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