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Individual
BENJAMIN CONDRA
Active
Individual
BENJAMIN CONDRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
019222
KY
183500000X
Pharmacist
03132149
OH
183500000X
Pharmacist
Primary
PHA.0023266
CO
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
019222
KY
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
03132149
OH
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
PHA.0023266
CO
Other
Enumeration date
03/24/2022
Last updated
09/08/2026
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