Individual
DR. PRABHJOT BENIPAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
4601 2ND ST, DAVIS, CA 95618-9446
(530) 761-0127
Mailing address
3545 MARSH CREEK WAY, ELK GROVE, CA 95758-4644
(916) 230-0551
Taxonomy
Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
78887
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
78887
CALIFORNIA STATE PHARMACIST LICENSE
CA
Enumeration date
12/10/2018
Last updated
12/10/2018
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