Individual
DR. MICHAEL THOMAS BANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
13007 WARWICK BLVD, NEWPORT NEWS, VA 23602-8315
(757) 882-1074
Mailing address
201 W 21ST ST STE 6, NORFOLK, VA 23517-2365
(757) 278-2577
(757) 278-2578
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202213215
VA
Other
Enumeration date
07/17/2014
Last updated
12/21/2022
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