DR. Bradley Paul Banister, PHARM. D.

NPI #1164501433 in Mangum, Oklahoma

Provider Information

NPI Number: 1164501433
Entity Type: Individual
Name: DR. Bradley Paul Banister, PHARM. D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Credential: PHARM. D.
Enumeration Date: Nov 6, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 1000 S. LOUIS TITTLE
City: Mangum
State: Oklahoma
ZIP Code: 73554
Phone: (580) 782-5400

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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