Individual
DR. JULIUS BANING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
634 N CHURCH ST, THOMASTON, GA 30286-3612
(706) 647-4000
Mailing address
634 N CHURCH ST, THOMASTON, GA 30286-3612
(706) 647-4000
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH030966
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1346831021
—
GA
01
—
RPH030966
GEORGIA BOARD OF PHARMACY
GA
Enumeration date
01/26/2021
Last updated
12/19/2024
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