Provider Demographics
NPI:1851995104
Name:BALUTA, ALINA (PHARMD)
Entity Type:Individual
Prefix:
First Name:ALINA
Middle Name:
Last Name:BALUTA
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 1:620 PHILADELPHIA RD
Mailing Address - Street 2:
Mailing Address - City:EASTON
Mailing Address - State:PA
Mailing Address - Zip Code:18042-6690
Mailing Address - Country:US
Mailing Address - Phone:610-559-2630
Mailing Address - Fax:
Practice Address - Street 1:620 PHILADELPHIA RD
Practice Address - Street 2:
Practice Address - City:EASTON
Practice Address - State:PA
Practice Address - Zip Code:18042-6690
Practice Address - Country:US
Practice Address - Phone:610-559-2630
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-11-27
Last Update Date:2020-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP444263183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist