Individual
SHRINA BANA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
5151 MAPLE AVE, DALLAS, TX 75235-8136
(214) 590-6323
Mailing address
5151 MAPLE AVE, DALLAS, TX 75235-8136
(214) 590-6323
Taxonomy
Speciality
Code
Description
License number
State
1835P2201X
Ambulatory Care Pharmacist
Primary
65356
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1932123247
—
TX
Enumeration date
09/09/2022
Last updated
09/09/2022
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