Healthcare Provider Details

I. General information

NPI: 1376753079
Provider Name (Legal Business Name): JANET AMPARO BALBUTIN PHARM.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/23/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6240 CLARK ROAD STE.B
PARADISE CA
95969
US

IV. Provider business mailing address

436 W.SHASTA AVENUE
CHICO CA
95926
US

V. Phone/Fax

Practice location:
  • Phone: 530-877-4981
  • Fax: 530-877-1048
Mailing address:
  • Phone: 530-893-8962
  • Fax: 530-877-1048

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number025833
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: