Individual
DR. MARK C DEBENITO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
9220 NE BARRY RD, KANSAS CITY, MO 64157-1209
(816) 781-2407
(816) 781-2407
Mailing address
9220 NE BARRY RD, KANSAS CITY, MO 64157-1209
(816) 781-2407
(816) 781-2407
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
1-14390
KS
183500000X
Pharmacist
Primary
2007028943
MO
Other
Enumeration date
06/13/2011
Last updated
06/13/2011
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