Courtney Bannister
Pharmacist in Baltimore, MD. Individual provider (NPI-1).
NPI number1265940407
StatusActive
Last updated in NPPESJan 22, 2018
Details
- NPI
- 1265940407
- Entity type
- Individual (NPI-1)
- Name
- Courtney Bannister
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 22, 2018
- Last updated
- Jan 22, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 183500000X | Pharmacist | 25506 | MD | Yes |
Practice location
4339 Ebenezer RdBaltimore, MD 21236-2143
Phone 410-529-6171
Mailing address
5909 Western Run Dr Apt BBaltimore, MD 21209-4037
Phone 202-352-2689
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