Individual
GEORGE E BALLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
3050 W NORTHERN AVE, PUEBLO, CO 81005-2317
(719) 564-0491
Mailing address
3050 W NORTHERN AVE, PUEBLO, CO 81005-2317
(719) 564-0491
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
10512
CO
Other
Enumeration date
05/01/2013
Last updated
05/01/2013
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