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Individual

MR. BRUCE BALLARD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
RPH

Contact information

Practice address
241 E LINWOOD BLVD, KANSAS CITY, MO 64111-1119
(816) 216-0002
(816) 216-0009
Mailing address
241 E LINWOOD BLVD, KANSAS CITY, MO 64111-1119
(816) 216-0002
(816) 216-0009

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
028642
MO
183500000X
Pharmacist
1-13362
KS

Other

Enumeration date
03/08/2014
Last updated
03/08/2014
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