Provider Demographics
NPI:1932100419
Name:BANKS, ELIZABETH F (PHARMD)
Entity type:Individual
Prefix:DR
First Name:ELIZABETH
Middle Name:F
Last Name:BANKS
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 1:2008 GASLIGHT DR
Mailing Address - Street 2:
Mailing Address - City:MODESTO
Mailing Address - State:CA
Mailing Address - Zip Code:95355-8104
Mailing Address - Country:US
Mailing Address - Phone:209-551-3419
Mailing Address - Fax:
Practice Address - Street 1:2008 GASLIGHT DR
Practice Address - Street 2:
Practice Address - City:MODESTO
Practice Address - State:CA
Practice Address - Zip Code:95355-8104
Practice Address - Country:US
Practice Address - Phone:209-551-3419
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-08-09
Last Update Date:2025-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA55672183500000X, 1835N1003X, 1835P1200X
LA17059183500000X, 1835N1003X, 1835P1200X
FL34457183500000X, 1835N1003X, 1835P1200X
SC010005183500000X, 1835N1003X, 1835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy
No183500000XPharmacy Service ProvidersPharmacist
No1835N1003XPharmacy Service ProvidersPharmacistNutrition Support