Individual
MS. ANGELINA M BANNISTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
7968 ESSEN PARK, BATON ROUGE VA OUTPATIENT CLINIC - PHARMACY SERVICE, BATON ROUGE, LA 70809-7439
(225) 761-6700
Mailing address
2455 WELDWOOD DR, APT 9304, BATON ROUGE, LA 70816-5836
(504) 495-1751
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
13296
LA
Other
Enumeration date
09/14/2006
Last updated
07/08/2007
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