Provider Demographics
NPI:1932379542
Name:BANKS, APRIL A (RPH;MPH)
Entity Type:Individual
Prefix:
First Name:APRIL
Middle Name:A
Last Name:BANKS
Suffix:
Gender:F
Credentials:RPH;MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 715
Mailing Address - Street 2:
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27702-0715
Mailing Address - Country:US
Mailing Address - Phone:919-358-1773
Mailing Address - Fax:919-957-4160
Practice Address - Street 1:4 CAMEROONS PL
Practice Address - Street 2:
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27703-3915
Practice Address - Country:US
Practice Address - Phone:919-358-1773
Practice Address - Fax:919-957-4160
Is Sole Proprietor?:Yes
Enumeration Date:2008-03-11
Last Update Date:2008-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC11697183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist