Fairveola Banks Valid NPI
Individual provider · Pharmacy · Lynwood, CA
- NPI
- 1659876605
- Type
- Individual (Type 1)
- Primary specialty
- Pharmacy
- Specialty group
- Suppliers
- Taxonomy code
- 333600000X
- License number
- 48607
- Sex
- Female
- Sole proprietor
- Yes
- Enumerated
- 2018-03-29
- Last updated
- 2018-03-29
Practice location
3628 E Imperial Hwy Ste 102
Lynwood, CA 90262-2600
(310) 637-2006