Individual
DR. OSCAR BENAVIDEZ JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
153 CESAR CHAVEZ ST, SAINT PAUL, MN 55107-2226
(651) 222-1816
Mailing address
153 CESAR CHAVEZ ST, SAINT PAUL, MN 55107-2226
(651) 222-1816
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
119575
MN
Other
Enumeration date
03/19/2010
Last updated
03/19/2010
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