Individual provider · NPI-1

Mirna Al-Banaa, PharmD

Pharmacist · Boston, MA

NPI number1780554345
StatusActive
Last updated in NPPESNov 10, 2025

Details

NPI
1780554345
Entity type
Individual (NPI-1)
Name
Mirna Al-Banaa
Credential
PharmD
Sex
Female
Sole proprietor
No
Enumeration date
Nov 10, 2025
Certification date
Nov 9, 2025
Last updated
Nov 10, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
183500000X PharmacistPH1002481MAYes

Practice location

21 Stanhope St # 23
Boston, MA 02116-5111

Phone 617-375-7969

Mailing address

21 Stanhope St # 23
Boston, MA 02116-5111

Phone 617-375-7969

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