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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

PHILIP ANDERS BALLANCE

Active

Pharmacist Clinician (PhC) · COEUR D ALENE, ID

Registration Details

NPI Number
1205164126
Provider Type
Individual
Gender
Male
NPI Issued
Dec 4, 2009 (16.379681675344 yrs)
Last Updated
Oct 4, 2022
Licenses
5974 (MT)
5974 (MT)

Practice Information

Address
915 W EMMA AVE
COEUR D ALENE, ID, 838142531
Browse ID providers · Browse ZIP 83814
Phone
2086651700
Fax
2086678649
Primary Specialty
Pharmacist Clinician (PhC)
1835P0018X
Additional Specialty
Pharmacist Clinician (PhC)

Other Pharmacist Clinician (PhC) Providers in COEUR D ALENE, ID

Name Credential NPI
ELAINE ELIZABETH BAKER PHARM.D. 1144471095
MARY THIBODEAU PHARMD 1821474818
KATHLEEN WIDMYER RPH 1205376456
HEATHER SPEARS 1104578731
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.