Individual
LINDA WYLIE BANARES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
1001 POTRERO AVE, GENERAL MEDICINE CLINIC, 1M-3, SAN FRANCISCO, CA 94110-3518
(415) 206-8978
(415) 206-5857
Mailing address
1310 JOHNSON LN, TOURO UNIVERSITY COLLEGE OF PHARMACY, VALLEJO, CA 94592-1159
(707) 638-5950
(707) 638-5959
Taxonomy
Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
63962
CA
Other
Enumeration date
07/29/2010
Last updated
07/29/2010
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