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NPI Code Detail

MEDICARE: MR. GEORGE ABRAM BALANDRAN JR. RPH.

MEDICARE:  MR. GEORGE ABRAM BALANDRAN JR. RPH.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacist37037TX

General Provider Information

NPI Number : 1578223988
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. GEORGE ABRAM BALANDRAN JR. RPH.
Provider Business Mailing Address
First Line : 4014 WOODLAWN AVE STE B
Second Line :
City : PASADENA
State : TX
Zip : 77504-1921
Country : US
Telephone Number : 346-692-5893
Fax Number : 346-692-5756
Provider Business Practice Location Address
First Line : 4014 WOODLAWN AVE STE B
Second Line :
City : PASADENA
State : TX
Zip : 77504-1921
Country : US
Telephone Number : 346-692-5893
Fax Number : 346-692-5756
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/27/2021
Last Update Date : 10/23/2025

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