Individual
MR. ROBERT WILSON BENEDICT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
9521 LEWIS & CLARK BLVD, MOLINE ACRES, MO 63136
(618) 869-2897
Mailing address
11732 SYLVESTER DR, ELSAH, IL 62028-7020
(618) 374-2154
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
045307
MO
183500000X
Pharmacist
051-290176
IL
Other
Enumeration date
03/26/2007
Last updated
07/08/2007
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