Provider Demographics
NPI:1972107639
Name:BALCIAUSKAS, ARUNAS J (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:ARUNAS
Middle Name:J
Last Name:BALCIAUSKAS
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8989 E US HIGHWAY 20
Mailing Address - Street 2:
Mailing Address - City:NEW CARLISLE
Mailing Address - State:IN
Mailing Address - Zip Code:46552-9084
Mailing Address - Country:US
Mailing Address - Phone:574-654-3148
Mailing Address - Fax:574-654-4554
Practice Address - Street 1:8989 E US HIGHWAY 20
Practice Address - Street 2:
Practice Address - City:NEW CARLISLE
Practice Address - State:IN
Practice Address - Zip Code:46552-9084
Practice Address - Country:US
Practice Address - Phone:574-654-3148
Practice Address - Fax:574-654-4554
Is Sole Proprietor?:No
Enumeration Date:2020-11-24
Last Update Date:2020-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL051.287200183500000X
MI5302035749183500000X
IN26021620A183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist