Individual
JEFFREY WAYNE BENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1350 N 500 E, LOGAN, UT 84341-2400
(435) 792-1521
(435) 792-1591
Mailing address
291 E 100 N, HYDE PARK, UT 84318-3425
(435) 792-1521
(435) 792-1591
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
150165-1701
UT
Other
Enumeration date
12/20/2006
Last updated
07/08/2007
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