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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. MARDI GRAS NANYONGO ETCHI-BANYI

Active Sole Proprietor

DR. MARDI GRAS NANYONGO ETCHI-BANYI is a Pharmacist healthcare provider located in BERRIEN SPRINGS, Michigan. NPI 1154673150 is currently active in the NPPES registry. Verify at CMS.

Pharmacist · BERRIEN SPRINGS, MI

Registration Details

NPI Number
1154673150
Provider Type
Individual
Gender
Female
NPI Issued
Oct 15, 2012 (13.646202182014 yrs)
Last Updated
Apr 17, 2019
License
5302047702 (MI)
Sole Proprietor
Yes

Practice Information

Address
612 SAINT JOSEPH AVE
BERRIEN SPRINGS, MI, 491031603
Browse MI providers · Browse ZIP 49103
Phone
3013776096
Fax
2694732566
Primary Specialty
Pharmacist
183500000X
Additional Specialty
Home Health Aide

Other Pharmacist Providers in BERRIEN SPRINGS, MI

Name Credential NPI
DAVID HERBERT SCHUG BS RPH 1063572840
MR. OKWARA W NWOKE RPH 1932233939
ASHLEY SARA COLBURN PHARM.D 1154971877
PETER SALIB DR. 1861082406
DANIELLE HAELEN BAE 1528636925
FEMY LISA JOSEPH 1578282018
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.