Individual
PHIL BANNAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
26 VALERIE DR, PLAINVILLE, MA 02762-1404
(508) 243-3576
Mailing address
26 VALERIE DR, PLAINVILLE, MA 02762-1404
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH234698
MA
Other
Enumeration date
01/19/2021
Last updated
01/19/2021
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