Individual
SANDI BANOUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DR
Contact information
Practice address
1310 PERRY AVE APT F, MORGANTOWN, WV 26505-2774
(586) 770-5602
Mailing address
300 FAIRMONT AVE, FAIRMONT, WV 26554-2713
(586) 770-5602
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP0014005
WV
Other
Enumeration date
12/14/2023
Last updated
02/12/2024
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