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Individual

BRENDON BANES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHARM.D.

Contact information

Practice address
5215 ASHLEY PHOSPHATE RD, NORTH CHARLESTON, SC 29418-2823
(843) 767-4500
Mailing address
351 STONEWALL CT, APT. # 2306, MT PLEASANT, SC 29464-7983
(678) 333-6208

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH-14362
SC

Other

Enumeration date
10/31/2013
Last updated
10/31/2013
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