Provider Demographics
NPI:1720424724
Name:BANKS, DONALD (PHARMD)
Entity Type:Individual
Prefix:
First Name:DONALD
Middle Name:
Last Name:BANKS
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:411 HOLTZ LN
Mailing Address - Street 2:
Mailing Address - City:CARY
Mailing Address - State:NC
Mailing Address - Zip Code:27511-3511
Mailing Address - Country:US
Mailing Address - Phone:937-430-1269
Mailing Address - Fax:
Practice Address - Street 1:1045 SUMMERHOUSE RD
Practice Address - Street 2:
Practice Address - City:CARY
Practice Address - State:NC
Practice Address - Zip Code:27519-7449
Practice Address - Country:US
Practice Address - Phone:937-430-1269
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-05-16
Last Update Date:2023-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC22789183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist