Individual provider · Type 1 NPI

Pavan Kumar Banoth

Pharmacist · Jacksonville, FL

NPI number 1245661032 Active

Practice location

3538 Blanding Blvd
Jacksonville, FL 32210-5253

Call (904) 778-7200 Map

Mailing address

3657 Silver Bluff Blvd
Orange Park, FL 32065-4237

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000XPS45090 (FL)

Pharmacist: An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage…

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About NPI 1245661032

Pavan Kumar Banoth's National Provider Identifier is 1245661032, issued on Dec 5, 2013. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Jacksonville, FL. The record was last updated on Dec 5, 2013.