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NPI Code Detail

MEDICARE: PATRICIA JOANNE BALZARINI RPH

MEDICARE:   PATRICIA JOANNE BALZARINI  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
11835G0303XGeriatric Pharmacist988AK
21835G0303XGeriatric Pharmacist3151HI

General Provider Information

NPI Number : 1891043980
Entity Type Code : Individual
Provider Name (Legal Business Name) : PATRICIA JOANNE BALZARINI RPH
Provider Business Mailing Address
First Line : 30840 PRUDHOE BAY AVE
Second Line :
City : EAGLE RIVER
State : AK
Zip : 99577-9737
Country : US
Telephone Number : 907-696-7534
Fax Number :
Provider Business Practice Location Address
First Line : 30840 PRUDHOE BAY AVE
Second Line :
City : EAGLE RIVER
State : AK
Zip : 99577-9737
Country : US
Telephone Number : 907-696-7534
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/21/2012
Last Update Date : 08/21/2012

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Directions to “ PATRICIA JOANNE BALZARINI RPH” Practice Location

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