Provider Demographics
NPI:1982741930
Name:ADOLFO BALLI INC
Entity Type:Organization
Organization Name:ADOLFO BALLI INC
Other - Org Name:BALLI PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIEF PHARMACIST
Authorized Official - Prefix:MR
Authorized Official - First Name:ADOLFO
Authorized Official - Middle Name:
Authorized Official - Last Name:BALLI
Authorized Official - Suffix:
Authorized Official - Credentials:R PH
Authorized Official - Phone:956-969-3309
Mailing Address - Street 1:1402 E 8TH ST STE 4
Mailing Address - Street 2:
Mailing Address - City:WESLACO
Mailing Address - State:TX
Mailing Address - Zip Code:78596-6642
Mailing Address - Country:US
Mailing Address - Phone:956-969-3309
Mailing Address - Fax:956-968-2855
Practice Address - Street 1:1402 E 8TH ST STE 4
Practice Address - Street 2:
Practice Address - City:WESLACO
Practice Address - State:TX
Practice Address - Zip Code:78596-6642
Practice Address - Country:US
Practice Address - Phone:956-969-3309
Practice Address - Fax:956-968-2855
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-31
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX16084332B00000X, 333600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Not Answered333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
4565428OtherNA BP
TX144134OtherVENDOR
4565428OtherNA BP