MEDICARE: DAVID R BANKS PHARM.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	37701	TX

General Provider Information

NPI Number	:	1306109830
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DAVID R BANKS PHARM.D.

Provider Business Mailing Address
First Line	:	7806 LA VERDURA DR
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75248-3145
Country	:	US
Telephone Number	:	972-490-1423
Fax Number	:	972-490-1423

Provider Business Practice Location Address
First Line	:	7806 LA VERDURA DR
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75248-3145
Country	:	US
Telephone Number	:	972-490-1423
Fax Number	:	972-490-1423

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/19/2012
Last Update Date	:	06/19/2012

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