Provider Demographics
NPI:1639707110
Name:BALLARD, ABIGAIL CHRISTINE (PHARMD)
Entity Type:Individual
Prefix:
First Name:ABIGAIL
Middle Name:CHRISTINE
Last Name:BALLARD
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7580 BEECHMONT AVE
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45255-4221
Mailing Address - Country:US
Mailing Address - Phone:513-233-4420
Mailing Address - Fax:513-233-4455
Practice Address - Street 1:7580 BEECHMONT AVE
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45255-4221
Practice Address - Country:US
Practice Address - Phone:513-233-4420
Practice Address - Fax:513-233-4455
Is Sole Proprietor?:No
Enumeration Date:2020-03-30
Last Update Date:2020-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH034386101835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist