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Yvette Marie Ballou, PHARMD

Pharmacist in North Fort Myers, FL. Individual provider (NPI-1).

NPI number1629347679
StatusActive
Last updated in NPPESDec 20, 2011

Details

NPI
1629347679
Entity type
Individual (NPI-1)
Name
Yvette Marie Ballou
Credential
PHARMD
Sex
Female
Sole proprietor
No
Enumeration date
Dec 20, 2011
Last updated
Dec 20, 2011

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
183500000X PharmacistPS46827FLYes

Practice location

16000 N Cleveland Ave
North Fort Myers, FL 33903-2107

Phone 239-656-3419

Mailing address

8761 Wesleyan Dr
1714
Fort Myers, FL 33919-3295

Phone 440-213-5752

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