Page Bankston, PHARMD
NPI #1649036112 in Ponchatoula, Louisiana
Provider Information
- NPI Number
- 1649036112
- Entity Type
- Individual
- Name
- Page Bankston, PHARMD
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Pharmacist
- Credential
- PHARMD
- Enumeration Date
- Feb 22, 2024
- Last Updated
- Feb 22, 2024
Practice Location
- Address
- 19008 HIGHWAY 22
- City
- Ponchatoula
- State
- Louisiana
- ZIP Code
- 70454-6780
- Phone
- (985) 514-0242
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacist |
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