Mrs Dianne Kristine Tablan Banawa, in Twentynine Palms, CA - Pharmacist

Mrs Dianne Kristine Tablan Banawa, is a Pharmacist based in Twentynine Palms, California. Mrs Dianne Kristine Tablan Banawa is licensed to practice in California (license number 66722) and her current practice location is 72253 Twentynine Palms Highway, Twentynine Palms, California. She can be reached at her office (for appointments etc.) via phone at (760) 367-3262.

NPI number for Mrs Dianne Kristine Tablan Banawa is 1003164963 and her current mailing address is 72253 Twentynine Palms Highway, Twentynine Palms, California. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1003164963.

Contact Information

	Mrs Dianne Kristine Tablan Banawa,
	72253 Twentynine Palms Highway, Twentynine Palms, CA 92277
	(760) 367-3262
	(760) 367-0079

Healthcare Provider's Profile

Full Name	Mrs Dianne Kristine Tablan Banawa
Gender	Female
Speciality	Pharmacist
Location	72253 Twentynine Palms Highway, Twentynine Palms, California
Accepts Medicare Assignments	Does not participate in Medicare Program. She may not accept medicare assignment.

NPI Data:

NPI Number: 1003164963
Provider Enumeration Date: 08/27/2012
Last Update Date: 08/27/2012

Medical Identifiers

Medical identifiers for Mrs Dianne Kristine Tablan Banawa such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1003164963	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
183500000X	Pharmacist	66722 (California)	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. Mrs Dianne Kristine Tablan Banawa 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
Mrs Dianne Kristine Tablan Banawa, 72253 Twentynine Palms Highway, Twentynine Palms, CA 92277 Ph: (760) 367-3262	Mrs Dianne Kristine Tablan Banawa, 72253 Twentynine Palms Highway, Twentynine Palms, CA 92277 Ph: (760) 367-3262

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Pharmacist in Twentynine Palms, CA

Jack Nguyen, Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 72253 Twentynine Palms Highway, Twentynine Palms, CA 92277 Phone: 760-367-3262
Rahulbhai Savalia, Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 72253 Twentynine Palms Highway, Twentynine Palms, CA 92277 Phone: 760-367-3262
Dr. Andrew William Romelhardt, Pharmacist Medicare: Not Enrolled in Medicare Practice Location: Naval Hospital, Attn Professional Affairs Magtftc Mcagcc, Twentynine Palms, CA 92278 Phone: 760-830-2670 Fax: 760-830-2131
Ram C Malhotra, DR. Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 72253 Twentynine Palms Highway, Twentynine Palms, CA 92277 Phone: 760-367-3262
Erica Marie Gordon, PHARM.D Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 72253 29 Palms Hwy, Twentynine Palms, CA 92277 Phone: 760-367-3262
Dr. Benjamin Jason Schwartz, PHARM.D. Pharmacist Medicare: Not Enrolled in Medicare Practice Location: Magtftc Mcagcc Naval Hospital Attn Professional Affairs, Box 788250, Twentynine Palms, CA 92278 Phone: 760-830-2750

Mrs Dianne Kristine Tablan Banawa, - Pharmacist in Twentynine Palms, CA