Dr Bradley Paul Banister, PHARM D is a
Pharmacist based in Mangum, Oklahoma. Dr Bradley Paul Banister is licensed to practice in Oklahoma (license number 13420) and his current practice location is
1000 S. Louis Tittle, Mangum, Oklahoma. He can be reached at his office (for appointments etc.) via phone at
(580) 782-5400.
NPI number for Dr Bradley Paul Banister is 1164501433 and his current mailing address is 403 S Robinson Ave, Mangum, Oklahoma. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1164501433.
Healthcare Provider's Profile
| Full Name | Dr Bradley Paul Banister |
|---|
| Gender | Male |
|---|
| Speciality | Pharmacist |
|---|
| Location | 1000 S. Louis Tittle, Mangum, Oklahoma |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1164501433
- Provider Enumeration Date: 11/06/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Dr Bradley Paul Banister such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1164501433 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 183500000X | Pharmacist | 13420 (Oklahoma) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Bradley Paul Banister is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Bradley Paul Banister, PHARM D
403 S Robinson Ave,
Mangum, OK 73554-4613
Ph: (580) 782-2750 | Dr Bradley Paul Banister, PHARM D
1000 S. Louis Tittle,
Mangum, OK 73554
Ph: (580) 782-5400 |
Reviews and Comments