Ballengee, Samuel Randolph

Ballengee, Samuel Randolph is an sole proprietor health care provider with primary practice located at 54 W 2Nd Ave , Williamson WV 25661-3506. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Ballengee, Samuel Randolph can be contacted via phone (304) 475-0080.

Contact Information

Primary practice address
54 W 2Nd Ave Williamson WV 25661-3506
Fax: (304) 475-0080
Website:

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X RP0006318 West Virginia

Profile Details

NPI number 1508985599
LBN Legal business name Ballengee, Samuel Randolph
Credentials PHARMD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 28th, 2007
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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