Individual
ALICIA BANKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1211 W BROAD ST, WAYNESBORO, VA 22980-4326
(540) 943-4637
Mailing address
106 COMMUNITY WAY APT 1033, STAUNTON, VA 24401-5119
(917) 710-4931
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202215500
VA
Other
Enumeration date
10/27/2020
Last updated
10/27/2020
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