Individual
SHANE A BANJACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2480 YOUNGSTOWN RD SE, WARREN, OH 44484-4319
(330) 369-8444
Mailing address
2480 YOUNGSTOWN RD SE, WARREN, OH 44484-4319
(330) 369-8444
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
09126000
OH
Other
Enumeration date
05/15/2023
Last updated
05/15/2023
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