Individual
DANIELLE MARIE BANASZAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
205 PARK CLUB LN, BUFFALO, NY 14221-5239
(716) 614-5704
Mailing address
205 PARK CLUB LN, BUFFALO, NY 14221-5239
(716) 614-5704
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
045450
NY
Other
Enumeration date
03/09/2009
Last updated
07/23/2020
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