Individual
DR. AILEEN BANNATYNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Contact information
Practice address
12127 DIEDRA CT, ORLANDO, FL 32825-7429
(407) 482-8004
Mailing address
12127 DIEDRA CT, ORLANDO, FL 32825-7429
(407) 482-8004
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PS38046
FL
Other
Enumeration date
07/12/2013
Last updated
07/12/2013
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