Provider Demographics
NPI:1326557422
Name:BAL PHARMACY INC
Entity Type:Organization
Organization Name:BAL PHARMACY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:BEATRICE
Authorized Official - Middle Name:
Authorized Official - Last Name:LOUISSAINT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-643-6443
Mailing Address - Street 1:7300 W MCNAB RD STE 112
Mailing Address - Street 2:
Mailing Address - City:TAMARAC
Mailing Address - State:FL
Mailing Address - Zip Code:33321-5329
Mailing Address - Country:US
Mailing Address - Phone:954-366-6137
Mailing Address - Fax:754-205-6118
Practice Address - Street 1:7300 W MCNAB RD STE 112
Practice Address - Street 2:
Practice Address - City:TAMARAC
Practice Address - State:FL
Practice Address - Zip Code:33321-5329
Practice Address - Country:US
Practice Address - Phone:954-366-6137
Practice Address - Fax:754-205-6118
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-09-21
Last Update Date:2021-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPH307463336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy