Bradley Paul Banister, PHARM. D. Valid NPI

Individual provider · Pharmacist · Mangum, OK

NPI

1164501433

Type

Individual (Type 1)

Primary specialty

Pharmacist

Specialty group

Pharmacy Service Providers

Taxonomy code

183500000X

License number

13420 (OK)

Sex

Male

Sole proprietor

No

Enumerated

2006-11-06

Last updated

2007-07-08