Individual
NOLAN BANALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
3431 W UNION HILLS DR, PHOENIX, AZ 85027-4898
(602) 564-6641
Mailing address
4433 W FALLEN LEAF LN, GLENDALE, AZ 85310-5126
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
S024215
AZ
Other
Enumeration date
08/27/2019
Last updated
08/27/2019
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