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Pavan Kumar Banoth
Pharmacist in Jacksonville, Florida
NPI 1245661032

Pavan Kumar Banoth is a Pharmacist based in Orange Park, FL. Pavan Kumar Banoth practices in Jacksonville, FL. The NPI Number for Pavan Kumar Banoth is 1245661032 and holds a License No. PS45090 (Florida).

The current practice location address for Pavan Kumar Banoth is 3538 Blanding Blvd, Jacksonville, FL and can be reached out via phone at 904-778-7200.

Location: 3538 Blanding Blvd, Jacksonville, FL, 32065-4237
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1245661032
Provider Name
Pavan Kumar Banoth
Credential
Provider Entity Type
Individual
Gender
Male
Address
3538 Blanding Blvd, Jacksonville, FL, 32065-4237
Phone Number
904-778-7200
Fax Number
Provider Enumeration Date
12/05/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3538 Blanding Blvd
City
Jacksonville
State
Florida
Zip
32210-5253
Phone Number
904-778-7200
Fax Number
person
Provider Business Mailing Address Details
Address
3538 Blanding Blvd
City
Jacksonville
State
Florida
Zip
32210-5253
Phone Number
904-778-7200
Fax Number
person
Provider's Taxonomy Details 1
Type
Pharmacy Service Providers
Classification
Pharmacist
Speciality
-
Taxonomy
183500000X
License No.
PS45090 (Florida)
Definition
An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.
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