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Individual
DR. BENJAMIN ALEX PROCTOR
Active
Individual
DR. BENJAMIN ALEX PROCTOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
22728
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
22728
PHARMACIST LICENSE
CO
Enumeration date
07/19/2019
Last updated
07/19/2019
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