Provider Demographics
NPI:1073679783
Name:BALINS TOWER DRUG AND GITS INC
Entity Type:Organization
Organization Name:BALINS TOWER DRUG AND GITS INC
Other - Org Name:TOWER DRUG AND GIFTS
Other - Org Type:Other Name
Authorized Official - Title/Position:PRESIDENT OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:CINDY
Authorized Official - Middle Name:L
Authorized Official - Last Name:BALIN
Authorized Official - Suffix:
Authorized Official - Credentials:RPH PRESIDENT
Authorized Official - Phone:541-884-1347
Mailing Address - Street 1:1791 WASHBURN WAY
Mailing Address - Street 2:
Mailing Address - City:KLAMATH FALLS
Mailing Address - State:OR
Mailing Address - Zip Code:97603-4357
Mailing Address - Country:US
Mailing Address - Phone:541-884-1347
Mailing Address - Fax:541-884-2019
Practice Address - Street 1:1791 WASHBURN WAY
Practice Address - Street 2:
Practice Address - City:KLAMATH FALLS
Practice Address - State:OR
Practice Address - Zip Code:97603-4357
Practice Address - Country:US
Practice Address - Phone:541-884-1347
Practice Address - Fax:541-884-2019
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-28
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORRP0000260CS333600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
3810480OtherNABP
3810480OtherNCPDP
OR024237Medicaid
OR024237Medicaid