MS. Tina U Bandekar

NPI #1457635617 in Garden City, Idaho

Provider Information

NPI Number: 1457635617
Entity Type: Individual
Name: MS. Tina U Bandekar
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Enumeration Date: Oct 6, 2011
Last Updated: Oct 6, 2011

Practice Location

Address: 10530 W CARLTON BAY DR
City: Garden City
State: Idaho
ZIP Code: 83714-5111
Phone: (208) 319-2482

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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