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

BERNARD MBALLESUBE, PHARM.D

Active Sole Proprietor

BERNARD MBALLESUBE, PHARM.D is a Long-Term Care Pharmacy healthcare provider located in PALM COAST, Florida. NPI 1386233476 is currently active in the NPPES registry. Verify at CMS.

Long-Term Care Pharmacy · PALM COAST, FL

Registration Details

NPI Number
1386233476
Provider Type
Individual
Gender
Male
NPI Issued
Jan 13, 2021 (5.3961769944333 yrs)
Last Updated
Jan 13, 2021
License
PS40873 (FL)
Sole Proprietor
Yes

Practice Information

Address
5151 BELLE TERRE PKWY
PALM COAST, FL, 321378689
Browse FL providers · Browse ZIP 32137
Phone
3864469449
Fax
3864469971
Primary Specialty
Long-Term Care Pharmacy
3336C0003X
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.