Provider Demographics
NPI:1225629306
Name:BANYAS, AARON (PHARM D)
Entity Type:Individual
Prefix:
First Name:AARON
Middle Name:
Last Name:BANYAS
Suffix:
Gender:M
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:611 CENTRE ST
Mailing Address - Street 2:
Mailing Address - City:FREELAND
Mailing Address - State:PA
Mailing Address - Zip Code:18224-1941
Mailing Address - Country:US
Mailing Address - Phone:570-526-2400
Mailing Address - Fax:570-526-4800
Practice Address - Street 1:611 CENTRE ST
Practice Address - Street 2:
Practice Address - City:FREELAND
Practice Address - State:PA
Practice Address - Zip Code:18224-1941
Practice Address - Country:US
Practice Address - Phone:570-526-2400
Practice Address - Fax:570-526-4800
Is Sole Proprietor?:No
Enumeration Date:2021-02-01
Last Update Date:2021-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP453501183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist