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

NATHANIEL TALLEY BALLOU III, R. PH.

Active

NATHANIEL TALLEY BALLOU III, R. PH. is a Pharmacotherapy Specialist healthcare provider located in VIERA, Florida. NPI 1588605414 is currently active in the NPPES registry. Verify at CMS.

Pharmacotherapy Specialist · VIERA, FL

Registration Details

NPI Number
1588605414
Provider Type
Individual
Gender
Male
NPI Issued
Jun 10, 2006 (20.168543267713 yrs)
Last Updated
Jul 8, 2007
License
11006 (VA)

Practice Information

Address
2900 VETERANS WAY
VIERA, FL, 329408007
Browse FL providers · Browse ZIP 32940
Phone
3216373788
Fax
3216373684
Primary Specialty
Pharmacotherapy Specialist
1835P1200X

Other Pharmacotherapy Specialist Providers in VIERA, FL

Name Credential NPI
MRS. BARBARA KATHLEEN FERGUSON RPH 1720061054
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.