Individual
JIM BALLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
209 ROCK CREEK RD, YUKON, OK 73099-4438
(405) 350-1251
Mailing address
209 ROCK CREEK RD, YUKON, OK 73099-4438
(405) 350-1251
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
11306
OK
Other
Enumeration date
08/29/2011
Last updated
08/29/2011
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