Individual
DR. BENJAMIN ROBERT OLDHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
4403 W WESTERN AVE, SOUTH BEND, IN 46619-2640
(574) 234-3241
Mailing address
4237 IRISH HILLS DR APT 3A, SOUTH BEND, IN 46614-6523
(859) 907-6037
Taxonomy
Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
26028034A
IN
Other
Enumeration date
11/29/2020
Last updated
11/29/2020
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