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Mrs. Holly Maris Ballard, CPT
Pharmacy Technician in South Bend, Indiana
NPI 1407997182

Holly Maris Ballard is a Pharmacy Technician based in South Bend, IN. Holly Maris Ballard practices in South Bend, IN and has the professional credentials of CPT. The NPI Number for Holly Maris Ballard is 1407997182 and holds a License No. 67002571A (Indiana).

The current practice location address for Holly Maris Ballard is 211 N Eddy St, South Bend, IN and can be reached out via phone at 574-237-9295 and via fax at 574-239-1554.

Location: 211 N Eddy St, South Bend, IN, 46617-2249
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1407997182
Provider Name
Holly Maris Ballard
Credential
CPT
Provider Entity Type
Individual
Gender
Female
Address
211 N Eddy St, South Bend, IN, 46617-2249
Phone Number
574-237-9295
Fax Number
574-239-1554
Provider Enumeration Date
02/08/2007
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
211 N Eddy St
City
South Bend
State
Indiana
Zip
46617-2808
Phone Number
574-237-9295
Fax Number
574-239-1554
person
Provider Business Mailing Address Details
Address
211 N Eddy St
City
South Bend
State
Indiana
Zip
46617-2808
Phone Number
574-237-9295
Fax Number
574-239-1554
person
Provider's Taxonomy Details 1
Type
Pharmacy Service Providers
Classification
Pharmacy Technician
Speciality
-
Taxonomy
183700000X
License No.
67002571A (Indiana)
Definition
A person who works under the direct supervision of a licensed pharmacist and performs many pharmacy-related functions that do not require the professional judgment of a pharmacist.
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