Organization · NPI-2
Ballenger Road Pharmacy LLC
Pharmacy, Community/Retail Pharmacy · Flint, MI
NPI number1669248399
StatusActive
Last updated in NPPESFeb 21, 2024
Details
- NPI
- 1669248399
- Entity type
- Organization (NPI-2)
- Legal business name
- Ballenger Road Pharmacy LLC
- Organization subpart
- No
- Enumeration date
- Dec 4, 2023
- Certification date
- Feb 21, 2024
- Last updated
- Feb 21, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3336C0003X | Pharmacy, Community/Retail Pharmacy | – | – | Yes |
| 333600000X | Pharmacy | – | – |
Other names
- Ballenger Road Pharmacy (Doing Business As)
Practice location
1160 N Ballenger HwyFlint, MI 48504
Phone 108-820-7039 · Fax 810-820-7094
Mailing address
1160 N Ballenger HwyFlint, MI 48504
Phone 810-820-7039 · Fax 810-820-7094
Authorized official
Hasmukhkumar Patel
Member
8108207039
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