Pavan Kumar Banoth
Pavan Kumar Banoth is a Pharmacist in Jacksonville, Florida. Practices as a sole proprietor. Licensed in Florida.
- Licensed in
- FL
- In the registry since
- 2013
Practice location Address checks out
3538 Blanding BlvdJacksonville, FL 32210-5253
Phone: (904) 778-7200
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Pharmacist (primary) | Taxonomy 183500000X · Licence PS45090 (FL) |
|---|
Record details
| NPI number | 1245661032 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | December 5, 2013 |
| Last updated in NPPES | December 5, 2013 |
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