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Individual
RAMON RUSSELL BANISTER
Active
Individual
RAMON RUSSELL BANISTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH020018
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
196123
NABP
GA
01
—
RPH020018
PHARMACIST LICENSE
GA
Enumeration date
01/24/2017
Last updated
01/24/2017
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