Individual
ANDREW SCOTT BALLESTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
610 E. HERMOSA DR, FULLERTON, CA 92835
(714) 612-9899
(714) 525-7997
Mailing address
610 E HERMOSA DR, FULLERTON, CA 92835-1658
(714) 612-9899
(714) 525-7997
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
55390
CA
Other
Enumeration date
11/19/2011
Last updated
11/19/2011
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