Doctor Name: | DR. JENNIFER MICHELLE BANKS |
NPI Number: | 1194195768 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PHARM.D |
License Number: | PS47289 |
Business Practice Address: | 2010 E Georgia St Bartow, FL - 338306709 |
Business Phone Number: | 8635345506 |
Business Fax Number: | 8635345505 |
Mailing Address: | 500 Eagles Landing Dr, LAKELAND |
State: | FL |
Postal Code: | 338102899 |
Phone Number: | 8634308933 |
Fax Number: | |
NPI Enumeration Date: | 09/25/2015 |
NPI Last Update Date: | 09/25/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1835P0018X |
License Number: | PS47289 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Pharmacy Service Providers |
Taxonomy Classification: | Pharmacist |
Taxonomy Specialization: | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
Taxonomy Definition: | Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management. |