Provider Demographics
NPI:1386072924
Name:BANZHAF, DARLENE (PHARMD)
Entity type:Individual
Prefix:
First Name:DARLENE
Middle Name:
Last Name:BANZHAF
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10555 N ORACLE RD
Mailing Address - Street 2:
Mailing Address - City:ORO VALLEY
Mailing Address - State:AZ
Mailing Address - Zip Code:85737-9353
Mailing Address - Country:US
Mailing Address - Phone:520-219-4151
Mailing Address - Fax:
Practice Address - Street 1:10555 N ORACLE RD
Practice Address - Street 2:
Practice Address - City:ORO VALLEY
Practice Address - State:AZ
Practice Address - Zip Code:85737-9353
Practice Address - Country:US
Practice Address - Phone:520-219-4151
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-10-16
Last Update Date:2013-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZS018598183500000X
NV18116183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist