Individual
EMILY E BENVENUTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM D
Contact information
Practice address
401 BELT LINE RD, COLLINSVILLE, IL 62234-4406
(618) 344-6639
Mailing address
401 BELT LINE RD, COLLINSVILLE, IL 62234-4406
(618) 344-6639
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051300421
IL
Other
Enumeration date
08/02/2017
Last updated
07/21/2022
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