# DR. MARK C DEBENITO

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1326333899
- **Gender:** Man

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 183500000X | Pharmacist | 1-14390 | KS | — |
| 183500000X | Pharmacist | 2007028943 | MO | Yes |

## Other

- **Enumeration date:** 06/13/2011
- **Last updated:** 06/13/2011