Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. BRADLEY PAUL BANISTER, PHARM. D.
ActiveDR. BRADLEY PAUL BANISTER, PHARM. D. is a Pharmacist healthcare provider located in MANGUM, Oklahoma. NPI 1164501433 is currently active in the NPPES registry. Verify at CMS.
Pharmacist · MANGUM, OK
Registration Details
- NPI Number
- 1164501433
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 6, 2006 (19.744380441736 yrs)
- Last Updated
- Jul 8, 2007
- License
-
13420 (OK)
Practice Information
- Address
-
1000 S. LOUIS TITTLEMANGUM, OK, 73554Browse OK providers · Browse ZIP 73554
- Phone
- 5807825400
- Fax
- 5807825404
- Primary Specialty
-
Pharmacist
183500000X
Other Pharmacist Providers in MANGUM, OK
| Name | Credential | NPI |
|---|---|---|
| MS. VICTORIA L BROOKS | DPH | 1346324019 |
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.