Most Relevant Information
Provider Data
| NPI Number: | 1003288556 |
| Provider Name: | CASEY RAY HANKS PHARMD |
| Entity Type: | Individual |
| Taxonomy Code: | 183500000X |
| Specialty: | Pharmacist |
| License Number: | PS53260 |
Most Important Dates
| Enumeration Date: | 10/23/2015 |
| Last Updated: | 10/23/2015 |
Provider Practice Location
12360 LAKELAND ACRES RD
LAKELAND
FL
338101016
Practice Location Phone/Fax
| Phone: | 8636615645 |
| Fax: |
Provider Mailing Location
12360 LAKELAND ACRES RD
LAKELAND
FL
338101016
Provider Mailing Phone/Fax
| Phone: | 8636615645 |
| Fax: |