Bradley Paul Banister in Mangum - Pharmacist
Bradley Paul Banister - NPI 1164501433
Bradley Paul Banister is a Pharmacist in Mangum, Oklahoma. Bradley Paul Banister practices all healthcare services and medical treatments related to Pharmacist. The NPI Number for Bradley Paul Banister is 1164501433. The last update date is 2007-07-08.
Bradley Paul Banister's current location address is 1000 S. Louis Tittle, Mangum, Oklahoma. You can contact this provider via phone number 5807825400 and fax number 5807825404. The mailing address for Bradley Paul Banister is 1000 S. Louis Tittle, Mangum, Oklahoma. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Bradley Paul Banister |
|---|---|
| Address | 1000 S. Louis Tittle, Mangum, Oklahoma |
| Phone Number | 5807825400 |
| Fax Number | 5807825404 |
| Sole Proprietor | N |
| Credentials | PHARM. D. |
NPI Number Detail
| NPI Number | 1164501433 |
|---|---|
| Provider Enumeration Date | 2006-11-06 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1000 S. Louis Tittle |
|---|---|
| City | Mangum |
| State | Oklahoma (OK) |
| Post Code | 73554 |
| Phone Number | 5807825400 |
| Fax Number | 5807825404 |
Provider's Primary Taxonomy Detail
| Speciality | Pharmacist |
|---|---|
| Taxonomy | 183500000X |
| Licence No | 13420 |
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Definition: An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or m |
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Post Comment/ Review Below
What is the unique identifier code issued to Bradley Paul Banister by the Centers for Medicare & Medicaid Services?
The Bradley Paul Banister has been assigned the NPI (National Provider Identifier) 1164501433. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Bradley Paul Banister's physical address?
The Bradley Paul Banister is physically located at 1000 S. Louis Tittle, in the city of Mangum, OK, with the postal code 73554.
What is the area of specialization for Bradley Paul Banister, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Bradley Paul Banister is Pharmacist, and the corresponding taxonomy code that categorizes this area of expertise is 183500000X.
On what date did the Bradley Paul Banister receive its 1164501433 assignment from the Centers for Medicare & Medicaid Services?
The Bradley Paul Banister was assigned its 1164501433 by the Centers for Medicare & Medicaid Services on 2006-11-06.
As of what date were the details related to Bradley Paul Banister most recently updated or revised?
The information pertaining to Bradley Paul Banister, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.
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