Fairveola Banks
Pharmacy in Lynwood, CA. Individual provider (NPI-1).
NPI number1659876605
StatusActive
Last updated in NPPESMar 29, 2018
Details
- NPI
- 1659876605
- Entity type
- Individual (NPI-1)
- Name
- Fairveola Banks
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Mar 29, 2018
- Last updated
- Mar 29, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 333600000X | Pharmacy | 48607 | – | Yes |
Practice location
3628 E Imperial Hwy Ste 102Lynwood, CA 90262-2600
Phone 310-637-2006
Mailing address
3628 E Imperial Hwy Ste 102Lynwood, CA 90262-2600
Phone 310-637-2006
Other practice locations
403 S Long Beach Blvd Ste C
Compton, CA 90221-3492
Compton, CA 90221-3492
Phone 310-639-1653
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