Individual
ELISE R. BANYAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7550 E STATE ROUTE 69, PRESCOTT VALLEY, AZ 86314-2214
(928) 772-0747
Mailing address
7550 E STATE ROUTE 69, PRESCOTT VALLEY, AZ 86314-2214
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
S011043
AZ
Other
Enumeration date
02/16/2010
Last updated
02/16/2010
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