Baltz, Douglas A

Baltz, Douglas A is an individual health care provider with primary practice located at 642 W Strawn Ave , Jonesboro AR 72401-3982. He recently has 3 registered licenses in different health care specialties including Pharmacy Service Providers / Pharmacist, Pharmacy Service Providers / Pharmacotherapy, Pharmacy Service Providers / Psychiatric. Pharmacy Service Providers / Pharmacist is his primary health care specialty. Baltz, Douglas A can be contacted via phone (870) 935-0294.

Contact Information

Primary practice address
642 W Strawn Ave Jonesboro AR 72401-3982
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 6612 Arkansas
Pharmacy Service Providers / Pharmacist 183500000X 2000165328 Missouri
Pharmacy Service Providers / Pharmacotherapy 1835P1200X 6612 Arkansas
Pharmacy Service Providers / Pharmacotherapy 1835P1200X 2000165328 Missouri
Pharmacy Service Providers / Psychiatric 1835P1300X 6612 Arkansas
Pharmacy Service Providers / Psychiatric 1835P1300X 2000165328 Missouri

Profile Details

NPI number 1013912765
LBN Legal business name Baltz, Douglas A
Credentials PHARMD
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 18th, 2005
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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