RAYMOND DWIGHT BANTA

HARVEST, AL
NPI1538532478
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy183500000X Pharmacist
(Licence: AL  10312)
Enumeration Date2015-10-31
Last Update Date2015-10-31
Business Address
MR. RAYMOND DWIGHT BANTA R.PH.
27691 CAPSHAW RD
HARVEST, AL 35749-7403
Phone number: 256-230-3416
Mailing Address
MR. RAYMOND DWIGHT BANTA R.PH.
27691 CAPSHAW RD
HARVEST, AL 35749-7403
Phone number: 256-230-3416
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