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NPI Code Detail

MEDICARE: MR. BRUCE BALLARD RPH

MEDICARE: MR. BRUCE BALLARD 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
1183500000XPharmacist028642MO
2183500000XPharmacist1-13362KS

General Provider Information

NPI Number : 1982020467
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. BRUCE BALLARD RPH
Provider Business Mailing Address
First Line : 241 E LINWOOD BLVD
Second Line :
City : KANSAS CITY
State : MO
Zip : 64111-1119
Country : US
Telephone Number : 816-216-0002
Fax Number : 816-216-0009
Provider Business Practice Location Address
First Line : 241 E LINWOOD BLVD
Second Line :
City : KANSAS CITY
State : MO
Zip : 64111-1119
Country : US
Telephone Number : 816-216-0002
Fax Number : 816-216-0009
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/08/2014
Last Update Date : 03/08/2014

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Directions to “ MR. BRUCE BALLARD RPH” Practice Location

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