Shantelle S Ballard, pharmacist
Pharmacist in Arlington, VA. Individual provider (NPI-1).
NPI number1124301320
StatusActive
Last updated in NPPESSep 23, 2011
Details
- NPI
- 1124301320
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Shantelle S Ballard
- Credential
- pharmacist
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 23, 2011
- Last updated
- Sep 23, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 183500000X | Pharmacist | 0202011132 | VA | Yes |
Practice location
1200 S Fern StArlington, VA 22202-2862
Phone 703-413-7082 · Fax 703-413-7429
Mailing address
1200 S Fern StArlington, VA 22202-2862
Phone 703-413-7082 · Fax 703-413-7429
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